Individual
DR. THOMAS P OFFICER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 PARK HILL DR, FREDERICKSBURG, VA 22401-3357
(540) 371-3010
(540) 899-9821
Mailing address
101 PARK HILL DR, FREDERICKSBURG, VA 22401-3357
(540) 371-3010
(540) 899-9821
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0101037103
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00414803
AETNA
VA
05
—
006061176
—
VA
01
—
094198
ANTHEM BC BS
VA
01
—
1100499769
RAILROAD
VA
Enumeration date
03/15/2006
Last updated
11/13/2008
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