| NPI | 1841852399 |
|---|---|
| Doing Business As | MARK P WALSH, DO |
| Entity Type | Organization |
| Authorized Contact | MARK P WALSH Owner 570-346-3297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2019-07-05 |