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NPI Code Detail

MEDICARE: GREGORY THOMAS WALSH D.C.

MEDICARE:   GREGORY THOMAS WALSH  D.C.
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
1111N00000XChiropractor5188KY
2111N00000XChiropractorCH 10673FL

General Provider Information

NPI Number : 1881820785
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY THOMAS WALSH D.C.
Provider Business Mailing Address
First Line : 16880 MCGREGOR BLVD STE 102
Second Line :
City : FORT MYERS
State : FL
Zip : 33908-3833
Country : US
Telephone Number : 270-556-6519
Fax Number :
Provider Business Practice Location Address
First Line : 16880 MCGREGOR BLVD STE 102
Second Line :
City : FORT MYERS
State : FL
Zip : 33908-3833
Country : US
Telephone Number : 270-556-6519
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2009
Last Update Date : 02/06/2023

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Directions to “ GREGORY THOMAS WALSH D.C.” Practice Location

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