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Individual

SCOTT G NEWBOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
55 W TIETAN ST, WALLA WALLA, WA 99362-4445
(509) 525-3720
(509) 522-1592
Mailing address
55 W TIETAN ST, WALLA WALLA, WA 99362-4445
(509) 525-3720
(509) 522-1592

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00028915
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0276125
WA L & I AND CRIME VICTIMS
WA
05
1068378
WA
Enumeration date
06/20/2005
Last updated
07/07/2014
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