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NPI Code Detail

MEDICARE: MS. ALLISON ELIZABETH WALSH PAC

MEDICARE: MS. ALLISON ELIZABETH WALSH PAC
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
1363AM0700XMedical Physician Assistant001502IA
2363AS0400XSurgical Physician Assistant001502IA
3363A00000XPhysician Assistant001502IA

General Provider Information

NPI Number : 1568421899
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALLISON ELIZABETH WALSH PAC
Provider Business Mailing Address
First Line : 200 HAWKINS DR
Second Line :
City : IOWA CITY
State : IA
Zip : 52242-1009
Country : US
Telephone Number : 319-467-6789
Fax Number :
Provider Business Practice Location Address
First Line : 920 E 2ND AVE STE 201A&B
Second Line :
City : CORALVILLE
State : IA
Zip : 52241-2219
Country : US
Telephone Number : 319-467-2000
Fax Number : 319-467-2815
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2006
Last Update Date : 11/29/2023

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Directions to “ MS. ALLISON ELIZABETH WALSH PAC” Practice Location

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