Individual
THOMAS J DEGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6841 NE NORTH SHORE RD, BELFAIR, WA 98528-9774
(425) 478-5260
(360) 275-3076
Mailing address
15520 75TH PL WEST, EDMONDS, WA 98026-7702
(425) 232-6989
(425) 374-7728
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD00018780
WA
207X00000X
Orthopaedic Surgery Physician
2017003923
MO
207X00000X
Orthopaedic Surgery Physician
Primary
MD00018780
WA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
2017003923
MO
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD00018780
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G8953624
MEDICARE
WA
Enumeration date
07/07/2005
Last updated
08/12/2021
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