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Individual

THOMAS MCILRAITH

Active
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Individual

THOMAS MCILRAITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A67830
CA
208M00000X
Hospitalist Physician
Primary
A67830
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000810608749
PHCS
CA
01
—
0088964
CIGNA
CA
05
—
00A678300
—
CA
01
—
104558
INTERPLAN
CA
01
—
105367
HEALTH NET
CA
01
—
1783233
GREAT WEST
CA
01
—
2250367
FIRST HEALTH
CA
01
—
2441706
UNITED HEALTHCARE
CA
01
—
7254587
AETNA
CA
01
—
90140492
PACIFICARE
CA
01
—
A67830
BLUE CROSS
CA
01
—
MCMG338200
WESTERN HEALTH ADVANTAGE
CA
Enumeration date
09/26/2006
Last updated
02/10/2012
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