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Individual

DR. THOMAS MICHAEL VANEATON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
250 FORT STREET, NEAH BAY, WA 98357
(360) 645-2233
Mailing address
PO BOX 410, NEAH BAY, WA 98357-0410
(360) 645-2233

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD00012829
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100209
WA
Enumeration date
08/19/2005
Last updated
07/08/2007
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