Individual
DR. CHARLES FORREST THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 LUMMI DR, LA CONNER, WA 98257-9631
(360) 466-5895
(360) 466-5895
Mailing address
110 LUMMI DR, LA CONNER, WA 98257-9631
(360) 466-5895
(360) 466-5895
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD18749
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD18749
STATE LICENSE
WA
Enumeration date
07/06/2012
Last updated
03/07/2023
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