Organization
MICHAEL GE THOMAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GE THOMAS MD (OWNER)
(360) 426-0121
Entity
Organization
Contact information
Practice address
221 PROFESSIONAL WAY, SHELTON, WA 98584-4404
(360) 426-0121
(360) 426-0434
Mailing address
221 PROFESSIONAL WAY, SHELTON, WA 98584-4404
(360) 491-5999
(360) 491-5946
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104959
—
WA
Enumeration date
10/24/2006
Last updated
03/07/2008
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