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Individual

DR. THOMAS G MORALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
500 DOYLE PARK DR, SUITE G04, SANTA ROSA, CA 95405-4558
(707) 303-8360
(707) 303-8361
Mailing address
500 DOYLE PARK DR, SUITE G04, SANTA ROSA, CA 95405-4558
(707) 303-8360
(707) 303-8361

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
36993
CO
207RG0100X
Gastroenterology Physician
Primary
G136134
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09872388
CO
01
100011350
RAILROAD MEDICARE
CO
Enumeration date
06/29/2006
Last updated
08/09/2023
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