# THOMAS D DEA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1003888108
- **Gender:** Man
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA10003775 | WA | Yes |

## Other

- **Enumeration date:** 02/02/2006
- **Last updated:** 12/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000010157088 | REGENCE BS OF IDAHO | — |
| 01 | — | 0210988 | LABOR & INDUSTRIES | WA |
| 01 | — | 6767DE | ASURIS NW HEALTH | WA |
| 05 | — | 8417271 | — | WA |
| 01 | — | P00418396 | RAIL ROAD MEDICARE | — |