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Individual

THOMAS T TRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
680 W. MONROE ST, WYTHEVILLE, VA 24382
(276) 228-2212
(276) 228-7835
Mailing address
680 W. MONROE ST, WYTHEVILLE, VA 24382
(276) 228-2212
(276) 228-7835

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103000956
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0099913000
WV
01
021290
CIGNA RICHMOND VA
01
100677
BCBS
VA
01
100678
BCBS
WV
01
2700429
UNITED HEALTH CARE
PA
01
4315920001
DME
01
700021290
CIGNA NATIONAL
01
92387439
BCBS
AL
05
9301402
VA
01
P9434
TRIGON BCBS KEY ADVANTAGE
01
TR661755
BCBS
PA
01
U50085
UNIVERSAL MEDICARE
Enumeration date
08/31/2006
Last updated
06/27/2022
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