Individual
THOMAS EDWARD HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
200 W HOSPITAL DRIVE, WHITERIVER, AZ 85941-0860
(928) 338-4911
(928) 338-5508
Mailing address
2963 W WHITE MOUNTAIN BLVD, LAKESIDE, AZ 85929-6257
(928) 368-0765
(928) 368-4540
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2975
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
851007
—
AZ
Enumeration date
05/03/2006
Last updated
03/21/2012
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