Individual
THOM MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042
(703) 776-3111
(904) 346-0113
Mailing address
PO BOX 759101, BALTIMORE, MD 21275
(703) 205-9790
(904) 346-0113
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101031908
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5601410
—
VA
01
—
930051778
RAILROAD MEDICARE
VA
Enumeration date
10/03/2006
Last updated
12/18/2013
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