Individual
MR. THOMAS WAYNE GAMMILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7314 146TH ST SW, B, LAKEWOOD, WA 98439-1229
(253) 968-3106
Mailing address
7314 146TH ST SW, B, LAKEWOOD, WA 98439-1229
(253) 968-3106
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA20020039
NM
Other
Enumeration date
03/02/2006
Last updated
06/30/2008
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