Individual
THOMAS DAVID REA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 521-1750
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00032311
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0231915
L&I
WA
05
—
1497884514
—
WA
Enumeration date
03/05/2007
Last updated
01/25/2012
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