Individual
THOMAS BARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
61 CHARLES ST, DEADWOOD, SD 57732-1303
(605) 717-6431
Mailing address
PO BOX 370, HILMAR, CA 95324-0370
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12896
SD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2018
Last updated
09/08/2021
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