Walsh, Mark Kim
Walsh, Mark Kim is an individual health care provider with primary practice located at 6561 E. Carondelet Dr. , Tucson AZ 85710-2161. He recently has only one registered license in Allopathic & Osteopathic Physicians / Retina Specialist, which is considered as his primary health care specialty. Walsh, Mark Kim can be contacted via phone (520) 886-2597.Contact Information
Primary practice address
6561 E. Carondelet Dr.
Tucson AZ 85710-2161
Phone: (520) 886-2597
Fax: (520) 886-6639
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 41270 | Arizona |
Profile Details
| NPI number | 1003952318 |
|---|---|
| LBN Legal business name | Walsh, Mark Kim |
| Credentials | M.D.,PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Apr 5th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003952318 | NPPES |
| Arizona | MEDICAID | 438790 |
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