Individual
DR. THOMAS W BYRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 MEMORIAL HWY, DALLAS, PA 18612-1569
(570) 675-7637
(570) 675-7882
Mailing address
2800 MEMORIAL HWY, DALLAS, PA 18612-1569
(570) 675-7637
(570) 675-7882
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
MD024634E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000407060
BLUE SHIELD
PA
05
—
0007769380002
—
PA
01
—
072017
FIRST PRIORITY
PA
Enumeration date
07/05/2006
Last updated
09/16/2016
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