NPI 1083887137 · live from the CMS NPI Registry
Ryan Robert Walsh
Radiology, Diagnostic Radiology in Burlington, VT. National Provider Identifier 1083887137, active.
NPI record
| NPI | 1083887137 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 111 Colchester Ave, Burlington, VT 05401 |
| Practice phone | 802-847-0000 |
| Mailing address | 397 State St Apt 11a, Albany, NY 12210 |
| Enumerated | April 9, 2008 |
| Last updated | May 22, 2012 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 0600003678 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.