Individual
TOM DUDLEY THROCKMORTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1823 HIGHWAY BLVD, SUITE 5, SPENCER, IA 51301-2226
(712) 262-6320
(712) 264-3007
Mailing address
1307 W 9TH ST, SPENCER, IA 51301-3066
(712) 262-8385
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
18439
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0153700
—
IA
Enumeration date
04/27/2006
Last updated
07/08/2007
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