Individual provider · Type 1 NPI
Michael S. Walsh, PA-C
Medical Physician Assistant · Pueblo, CO
NPI number
1164584686
Active
Practice location
3116 N. Elizabeth
Pueblo, CO 81008
Fax (719) 542-5034
Mailing address
3116 N Elizabeth St
Pueblo, CO 81008-1163
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 1662 (CO) |
Medical Physician Assistant: Definition to come...
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About NPI 1164584686
Michael S. Walsh, PA-C's National Provider Identifier is 1164584686, issued on Dec 14, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Pueblo, CO. The record was last updated on Mar 5, 2013.