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Individual

THOMAS D MCKINNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
00003827
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000004239
AL
Enumeration date
08/12/2005
Last updated
02/24/2016
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