Individual
THAD H TOFAUTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
401 MATTHEW ST, MARIETTA, OH 45750-1635
(740) 376-1994
(740) 376-1940
Mailing address
PO BOX 449, MARIETTA, OH 45750-0449
(740) 374-4500
(740) 374-5887
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
66505
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.14444-NA
OH
Other
Enumeration date
05/27/2011
Last updated
09/10/2014
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