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Individual

CAMTU M THAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
701 HOSPITAL LOOP, FAIRCHILD AFB, WA 99011-8704
(509) 247-5661
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00039051
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8275745
WA
Enumeration date
08/24/2005
Last updated
04/14/2025
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