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Individual

THOMAS S CATALINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA C

Contact information

Practice address
1415 E KINCAID ST, MOUNT VERNON, WA 98274-4126
(360) 424-4111
(360) 428-2458
Mailing address
505 S 336TH ST, SUITE 600, FEDERAL WAY, WA 98003-6328
(253) 838-6180
(253) 838-6418

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
PA10003865
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0141737
LIWA
WA
01
0141738
LIWA
WA
01
1112CA
BSWA
WA
01
1805CA
BSWA
WA
01
5486CA
BLUE SHIELD VM
WA
01
7543CA
BSWA
WA
05
8356669
WA
01
P00283492
RAILROAD MC VM
WA
01
US7571674
AETNA PCP PIN VM
WA
Enumeration date
06/30/2006
Last updated
06/27/2008
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