Individual
MR. THOMAS A FIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1445 GATEWAY BLVD, COTTAGE GROVE, OR 97424-0026
(541) 942-7000
(541) 942-5550
Mailing address
1445 GATEWAY BLVD, COTTAGE GROVE, OR 97424-1224
(541) 942-7000
(541) 942-5550
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD15091
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070425
—
OR
01
—
110155238
RR MEDICARE
OR
Enumeration date
07/19/2005
Last updated
12/20/2013
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