Individual
THOMAS R HEFTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 9TH AVE, MS M4-PA, SEATTLE, WA 98101-2756
(206) 583-6025
(206) 515-5886
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00029845
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003753500
IDAHO MEDICAID
WA
01
—
0039595
LABOR & INDUSTRY
WA
01
—
340008900
RAILROAD MEDICARE
WA
05
—
8119349
—
WA
01
—
HE6994
BLUE SHIELD
WA
01
—
MD415WA
ALASKA MEDICAID
WA
01
—
US0861915
AETNA/USHC SPECIALIST
WA
Enumeration date
07/23/2006
Last updated
04/23/2013
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