Individual
DR. THOMAS R VICTORS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5801 BREMO ROAD, AMERICAN ANESTHESIOLOGY OF VIRGINIA, PC, RICHMOND, VA 23226-1907
(606) 218-3500
Mailing address
3100 SPRING FOREST ROAD, SUITE 130, RALEIGH, NC 27616-2880
(919) 882-0705
(919) 873-9821
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0102202159
VA
207L00000X
Anesthesiology Physician
02922
KY
207LP2900X
Pain Medicine (Anesthesiology) Physician
TP015
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810003247
—
WV
05
—
64105638
—
KY
Enumeration date
09/20/2005
Last updated
02/10/2016
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