Clinton Grover Wolboldt MD

NPI 1851354567 - Family Medicine - 207Q00000X

NPI Details
NPI 1851354567
Gender Male
Enumeration Date 04/11/2006
Last Updated 10/31/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
LUBBOCK TX, 79424-3360, US
Phone (806) 725-9603
Fax (806) 725-9500
Business Location
3420 22ND PL
LUBBOCK TX, 79410-1314, US
Phone (806) 725-5844
Fax (806) 723-6532
Taxonomy Code 207Q00000X
License State Texas
License Number K4298
Remove 1851354567 NPI Number

According to our database, Dr. Clinton Grover Wolboldt MD NPI is 1851354567, taxonomy code is 207Q00000X and license number is K4298, license state is located at Texas. Clinton Grover Wolboldt MD physically located at 7601 Quaker Ave, Lubbock TX, 79424-3360. NPI Number Clinton Grover Wolboldt MD has the Individual type.

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1851354567 NPI number is provided on an as is basis without warranty of any kind. 1851354567 is maintained by the National Plan & Provider Enumeration System. The contents of Clinton Grover Wolboldt MD are for informational purposes only.