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Individual
THOMAS JAMES MULDOWNEY
Active
Individual
THOMAS JAMES MULDOWNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C31160
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C311600
BLUE SHIELD
CA
05
—
00C311600
—
CA
01
—
3094032
MEDICAID PIN
CA
01
—
GR0084040
GROUP MEDICAID
CA
01
—
W13274
GROUP MEDICARE
CA
Enumeration date
07/19/2006
Last updated
02/15/2008
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