Dr William Joseph Walsh Iii, MD | |
2740 Pennsylvania Ave, Ogden, UT 84401-3320 | |
(801) 675-5624 | |
Not Available |
Full Name | Dr William Joseph Walsh Iii |
---|---|
Gender | Male |
Speciality | Internal Medicine - Addiction Medicine |
Location | 2740 Pennsylvania Ave, Ogden, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730374604 | NPI | - | NPPES |
6054241-1205 | Other | UT | UTAH LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | 5054241-1205 (Utah) | Secondary |
207RA0401X | Internal Medicine - Addiction Medicine | 6054241-1205 (Utah) | Primary |
Entity Name | Exodus Healthcare Network Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306952783 PECOS PAC ID: 1456265057 Enrollment ID: O20031118000408 |
Entity Name | Mobile Mbs Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477887859 PECOS PAC ID: 0042357527 Enrollment ID: O20120508000730 |
Mailing Address | Practice Location Address |
---|---|
Dr William Joseph Walsh Iii, MD 2740 Pennsylvania Ave, Ogden, UT 84401-3320 Ph: (385) 280-6337 | Dr William Joseph Walsh Iii, MD 2740 Pennsylvania Ave, Ogden, UT 84401-3320 Ph: (801) 675-5624 |
Mikhail Shipotko, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-2800 | |
Ewa Gniado, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4403 Harrison Blvd Ste 3630, Ogden, UT 84403 Phone: 801-387-7900 Fax: 801-387-7910 | |
Jaclyn Nguyen, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4403 Harrison Blvd Ste 3630, Ogden, UT 84403 Phone: 801-387-7900 | |
Dr. Timothy Trask, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-3654 | |
Gregory T Almony, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5405 S 500 E, Suite #204, Ogden, UT 84405 Phone: 801-479-0194 Fax: 801-479-5642 | |
Brian W Pugh, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 6028 S Ridgeline Dr, Ste 201, Ogden, UT 84405 Phone: 801-475-5400 Fax: 801-475-8614 | |
Dr. Jack D Wahlen, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4403 Harrison Blvd, Ste 3630, Ogden, UT 84403 Phone: 801-387-7900 Fax: 801-387-7910 |