Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 4301102790 | MI |
Y | 2080N0001X | Neonatal-Perinatal Doctor | 34489 | OK |
NPI | 1083053755 |
---|---|
Provider Name | Dr. Rebecca Walsh |
First Address | Oklahoma City, OK 73112-4418 |
Second Address | Oklahoma City, OK 73112-4418 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2013 |
Last Update Date | 24/05/2021 |