Individual
THOMAS DAVID WALBOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 580-6222
(909) 580-1363
Mailing address
7828 DAY CREEK BLVD, #1337, RANCHO CUCAMONGA, CA 91739-8569
(707) 344-1735
(909) 580-1363
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20A10110
CA
Other
Enumeration date
06/19/2008
Last updated
02/11/2022
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