Individual
THOMAS LEON DEBAUCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 HOYT AVE, EVERETT, WA 98201-4918
(425) 339-5453
(425) 257-1423
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(206) 860-5414
(206) 720-8462
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD6143483
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060003218
RAILROAD MEDICARE
—
Enumeration date
10/12/2006
Last updated
09/08/2025
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