Individual
THOMAS J HOLCOMB III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
888 SWIFT BLVD., RICHLAND, WA 99352-3514
(509) 942-2931
Mailing address
427 COLUMBIA POINT DR., RICHLAND, WA 99352-4373
(901) 299-9644
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
16236
TN
207L00000X
Anesthesiology Physician
Primary
60187979
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00095885
—
MS
05
—
112943001
—
AR
05
—
203461900
—
MO
05
—
3014312
—
TN
01
—
3072113
BLUECROSS BLUESHIELD
TN
01
—
50046018
MEDICARE TRAVELERS
—
01
—
92418
BLUECROSS BLUESHIELD
AR
Enumeration date
01/27/2006
Last updated
09/06/2012
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