MEDICARE: DR. FRANK WALCH MD, MBA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician	DR.0060515	CO

General Provider Information

NPI Number	:	1396131017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK WALCH MD, MBA

Provider Business Mailing Address
First Line	:	340 EXEMPLA CIR STE 300
Second Line	:
City	:	LAFAYETTE
State	:	CO
Zip	:	80026-3384
Country	:	US
Telephone Number	:	303-673-1390
Fax Number	:

Provider Business Practice Location Address
First Line	:	340 EXEMPLA CIR STE 300
Second Line	:
City	:	LAFAYETTE
State	:	CO
Zip	:	80026-3384
Country	:	US
Telephone Number	:	303-673-1390
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2015
Last Update Date	:	04/17/2023

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