Individual
MR. THOMAS SAMUEL PAXMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
728 E WHITE MOUNTAIN BLVD, SUITE A, PINETOP, AZ 85935-7027
(928) 367-6688
(928) 367-4916
Mailing address
PO BOX 2690, PINETOP, AZ 85935-7027
(928) 367-6688
(928) 367-4916
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2577
AZ
208D00000X
General Practice Physician
Primary
2577
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049884
—
AZ
Enumeration date
02/09/2006
Last updated
03/07/2023
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