Individual
DR. THOMAS B. CORSOLINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3520 S CULPEPPER CIRCLE STE. D, SPRINGFIELD, MO 65804
(417) 882-7500
(417) 881-2840
Mailing address
3520 S CULPEPPER CIRCLE STE. D, SPRINGFIELD, MO 65804
(417) 882-7500
(417) 881-2840
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
104716
MO
204R00000X
Electrodiagnostic Medicine Physician
104716
MO
208100000X
Physical Medicine & Rehabilitation Physician
104716
MO
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
104716
MO
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
104716
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206847808
—
MO
Enumeration date
01/31/2007
Last updated
04/24/2020
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