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Individual

DR. THOMAS HIROTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
5225 CIRQUE DR W, UNIVERSITY PLACE, WA 98467-3604
(253) 848-3000
Mailing address
5225 CIRQUE DR W, UNIVERSITY PLACE, WA 98467-3604
(253) 848-3000

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
02001718A
IN
207N00000X
Dermatology Physician
Primary
OP60209777
WA

Other

Enumeration date
02/15/2006
Last updated
04/12/2012
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