Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 44498 | CO |
NPI | 1013010958 |
---|---|
Provider Name | Bridget M Walsh |
First Address | Denver, CO 80220-3900 |
Second Address | Denver, CO 80220-3900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2006 |
Last Update Date | 20/08/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
32785577 | (05) | CO |