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Individual

THOMAS PAUL SPLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D,

Contact information

Practice address
202 TIDES RUN, YORKTOWN, VA 23692-4339
(757) 880-4705
(757) 880-4705
Mailing address
202 TIDES RUN, YORKTOWN, VA 23692-4339
(757) 880-4705
(757) 880-4705

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
0101031028
VA
207RP1001X
Pulmonary Disease Physician
4301030220
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
-122
TRICARE/CHAMPUS
VA
01
10097096
OPTIMA HEALTH
VA
01
1477506475
COVENTRY HEALTH NETWORK
VA
05
1477506475
VA
01
477642
ANTHEM BC/BS
VA
05
890616T
NC
01
PAR
VIRGINIA HEALTH NETWORK
VA
Enumeration date
05/19/2006
Last updated
12/16/2014
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