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Individual
THOMAS CARLSON
Active
Individual
THOMAS CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD00043266
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073540704
—
WA
01
—
315460
L&I POST 7/21/13
WA
01
—
P01256585
RR MEDICARE
WA
Enumeration date
06/27/2006
Last updated
02/11/2014
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