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Individual

DR. A TOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1100 E NORRIS DR, DEPT OF PATHOLOGY, COMMUNITY HOSPITAL OF OTTAWA, OTTAWA, IL 61350-1604
(815) 223-4870
(815) 223-7040
Mailing address
944 4TH ST, PERU, IL 61354-3614
(815) 223-4870
(815) 223-7040

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1225212236
NPI
IL
01
5000298
BCBS
IL
Enumeration date
05/15/2006
Last updated
01/23/2008
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