Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 0101242698 | VA |
NPI | 1528013620 |
---|---|
Provider Name | Christopher Joseph Walshe |
First Address | Suffolk, VA 23435-3763 |
Second Address | Suffolk, VA 23435-3763 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2006 |
Last Update Date | 23/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F43548 | (02) |