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Individual

THOMAS EDWARD MCNALLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
550 16TH ST FL 4, SAN FRANCISCO, CA 94158-2545
(415) 514-4079
Mailing address
550 16TH ST FL 4, SAN FRANCISCO, CA 94158-2545
(415) 514-4079

Taxonomy

Speciality
Code
Description
License number
State
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
Primary
C142768
CA
208100000X
Physical Medicine & Rehabilitation Physician
MD00047266
WA
2081P0010X
Pediatric Rehabilitation Medicine Physician
C142768
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8522542
WA
Enumeration date
08/30/2006
Last updated
07/28/2020
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