Individual
THOMAS CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD00043266
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073540704
—
WA
01
—
315460
L&I POST 7/21/13
WA
01
—
P01256585
RR MEDICARE
WA
Enumeration date
06/27/2006
Last updated
02/11/2014
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