Individual
THOMAS WARD THROCKMORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
103217
MN
207X00000X
Orthopaedic Surgery Physician
Primary
39600
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000800533
—
MS
05
—
05654509
—
MS
05
—
100171975
—
MS
05
—
1514492
—
TN
05
—
178280001
—
AR
Enumeration date
01/04/2007
Last updated
10/06/2022
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