Individual
MR. THOMAS MICHAEL NAGLE
Active
Individual
MR. THOMAS MICHAEL NAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2828
AZ
363AS0400X
Surgical Physician Assistant
PA10005053
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA10005053
STATE LICENSE
WA
Enumeration date
08/30/2006
Last updated
11/14/2014
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