Individual
THOMAS MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 277-1803
Mailing address
4403 SW 100TH ST, SEATTLE, WA 98146-1054
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA10004112
WA
Other
Enumeration date
04/18/2006
Last updated
05/12/2011
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