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Individual
DR. THOMAS R ANDERSON
Active
Individual
DR. THOMAS R ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A84211
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0942SN
REGENCE BS
—
01
—
204017
WA L&I
—
05
—
8439416
—
WA
01
—
8940416
WA CRIME VICTIM
—
01
—
I22318
GROUP HEALTH
—
01
—
P00614626
MEDICARE RAILROAD
WA
Enumeration date
06/05/2006
Last updated
08/15/2022
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