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Individual

DR. THOMAS ANDREW DEMLOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
400 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664-3200
(360) 892-9664
(360) 892-9667
Mailing address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1501

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00035567
WA
2085R0204X
Vascular & Interventional Radiology Physician
MD00035567
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036819
OR
05
1012326
WA
05
8141590
WA
Enumeration date
05/05/2006
Last updated
03/05/2018
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