Individual
DR. THOMAS KENT GERACI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1219 SW 4TH AVE, SUITE 1, ONTARIO, OR 97914-4500
(541) 889-2668
Mailing address
1219 SW 4TH AVE, SUITE 1, ONTARIO, OR 97914-4500
(541) 889-2668
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01055830A
IN
208000000X
Pediatrics Physician
G87002
CA
208000000X
Pediatrics Physician
Primary
MD10368
OR
208000000X
Pediatrics Physician
MD2005-0001
NM
Other
Enumeration date
08/19/2006
Last updated
10/22/2011
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