Organization
THOMAS V MAROLDO, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS V MAROLDO (MD)
(509) 525-2220
Entity
Organization
Contact information
Practice address
401 W POPLAR ST, WALLA WALLA, WA 99362-2846
(509) 525-2220
Mailing address
PO BOX 2300 MSC 10044, SPOKANE, WA 99210
(509) 525-4878
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00034132
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114156
—
WA
01
—
8804555
MEDICARE GROUP PIN
WA
Enumeration date
08/31/2007
Last updated
08/31/2007
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