Individual provider · Type 1 NPI

Walter Desha, PA

Surgical Physician Assistant · Rancho Mirage, CA

NPI number 1497738132 Active

Practice location

39000 Bob Hope Dr, K-108
Rancho Mirage, CA 92270-3221

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X15929 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1497738132

Walter Desha, PA's National Provider Identifier is 1497738132, issued on Nov 28, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Rancho Mirage, CA. The record was last updated on Apr 20, 2016.