Organization
THOMAS W. FUTRELL,MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS WALTER FUTRELL M.D. (PRESIDENT)
(540) 213-2240
Entity
Organization
Contact information
Practice address
907 GOOSE CREEK RD, SUITE 103, FISHERSVILLE, VA 22939-2352
(540) 213-2240
(540) 213-2242
Mailing address
907 GOOSE CREEK RD, SUITE 103, FISHERSVILLE, VA 22939-2352
(540) 213-2240
(540) 213-2242
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101058590
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006500056
VIRGINIA PREMIER
VA
05
—
006500056
—
VA
01
—
040017242
MEDICARE RAILROAD
VA
01
—
157902
SOUTHERN HEALTH
VA
01
—
24986
OPTIMA HEALTH
VA
01
—
259524
ANTHEM
VA
01
—
2689876008
CIGNA
VA
01
—
DG6012
MEDICARE RAILROAD GROUP
VA
Enumeration date
11/13/2006
Last updated
07/26/2010
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