Search › Colorado › 163W00000X
Jack Walsh
NPI 1932755972 · on the registry since 2019
Practice
- Address
- 825 Clark Street
Unit A
Fairplay, CO 80440 - Phone
- (719) 836-4154
- Organisation at this address
- County Of Park Dba Park County Public Health
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-08-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado