Individual
DR. THOMAS L CROSS
Active
Individual
DR. THOMAS L CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
00001222
WA
207X00000X
Orthopaedic Surgery Physician
Primary
OP00001222
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0219677
STATE L&I
WA
05
—
1052596
—
WA
Enumeration date
06/12/2006
Last updated
06/23/2011
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