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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WALTER WOOLFOLK COSTNER, M.D.

Active

WALTER WOOLFOLK COSTNER, M.D. is a General Surgery healthcare provider located in HARRISONVILLE, Missouri. NPI 1417993957 is currently active in the NPPES registry. Verify at CMS.

General Surgery · HARRISONVILLE, MO

Registration Details

NPI Number
1417993957
Provider Type
Individual
Gender
Male
NPI Issued
Jun 22, 2006 (20.184287295153 yrs)
Last Updated
Mar 17, 2011
License
2010007567 (MO)

Practice Information

Address
2820 E ROCK HAVEN ROAD
SUITE 210
HARRISONVILLE, MO, 64701
Browse MO providers · Browse ZIP 64701
Phone
8163802446
Fax
8163804791
Primary Specialty
General Surgery
208600000X

Other General Surgery Providers in HARRISONVILLE, MO

Name Credential NPI
JACK RYAN HUDKINS MD 1306064092
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.