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Individual
THOMAS RAY BURDICK
Active
Individual
THOMAS RAY BURDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD00038788
WA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
22860
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
310010
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8354441
—
WA
Enumeration date
10/27/2006
Last updated
07/25/2022
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