Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | G80415 | CA |
NPI | 1003990847 |
---|---|
Provider Name | John Erskine Welsh |
First Address | Los Altos, CA 94024-5698 |
Second Address | Los Altos, CA 94024-5698 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 28/09/2007 |