Individual
THOMAS DEBLAUW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1905 COWLES ST, FAIRBANKS, AK 99701-5914
(907) 374-0432
(907) 374-9932
Mailing address
1905 COWLES ST, FAIRBANKS, AK 99701-5914
(907) 374-0432
(907) 374-9932
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2311
AK
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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