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Individual
THOMAS WALTER FUTRELL
Active
Individual
THOMAS WALTER FUTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101058590
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006500056
VA PREMIER
VA
05
—
006500056
—
VA
01
—
040017242
RAILROAD MEDICARE
VA
01
—
157902
SOUTHERN HEALTH
VA
01
—
24986
SENTARA
VA
01
—
259524
ANTHEM BLUE CROSS
VA
01
—
2689876008
CIGNA
VA
01
—
371424479
VA HEALTH NETWORK
VA
Enumeration date
01/16/2006
Last updated
07/26/2010
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