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Individual

THOMAS B VADER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
101 N MAIN ST, WHIDBEY GENERAL HOSPITAL, COUPEVILLE, WA 98239
(360) 678-6018
Mailing address
P O BOX 129, COUPEVILLE, WA 98239
(360) 678-4071
(360) 678-6014

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00015541
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0015292
DLI
WA
05
1124403
WA
01
15522
REGENCE BLUE SHIELD
WA
Enumeration date
09/28/2006
Last updated
01/08/2008
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