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Individual

TOMMY L LOVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1740 NW MAPLE ST, STE 100, ISSAQUAH, WA 98027-8924
(425) 313-4800
(425) 391-1689
Mailing address
11400 SE 8TH ST, STE 210, BELLEVUE, WA 98004-6461
(425) 688-3730
(425) 453-6345

Taxonomy

Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
4551473-1204
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1164491403
WA
05
D3487
UT
Enumeration date
03/17/2006
Last updated
04/22/2011
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