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Individual

DR. THOMAS FRANCIS DETERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD 786
AZ
152WC0802X
Corneal and Contact Management Optometrist
OD 786
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
131533001
DMERC
AZ
01
410030328
RAILROAD
AZ
01
AZ0249670
BCBS ARIZONA
AZ
Enumeration date
09/25/2006
Last updated
01/12/2022
Update your record

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