Organization
THOMAS B VADER MD PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS B VADER MD (PRESIDENT)
(360) 678-4071
Entity
Organization
Contact information
Practice address
101 N MAIN ST, COUPEVILLE, WA 98239-3413
(360) 678-7608
Mailing address
PO BOX 129, COUPEVILLE, WA 98239-0129
(360) 678-4071
(360) 678-6014
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00015541
WA
Other
Enumeration date
10/04/2006
Last updated
01/08/2008
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