Individual
WALTER S. TROMBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6044 S OVERLOOK TRL, SPRINGFIELD, MO 65810-1942
(417) 771-5778
Mailing address
6044 S OVERLOOK TRL, SPRINGFIELD, MO 65810-1942
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
16550
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023027281
—
MO
05
—
202938502
—
MO
Enumeration date
08/05/2006
Last updated
01/30/2024
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