Individual
CHAD BALDO THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21616 76TH AVE W STE 205, EDMONDS, WA 98026-7512
(425) 640-4810
(425) 640-4884
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD60143646
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0210TH
REGENCE
WA
01
—
0261502
CRIME VICTIMS
WA
05
—
2006248
—
WA
Enumeration date
08/30/2006
Last updated
11/30/2022
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