Individual
THOMAS S CHARBONNEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1530 S UNION AVE, SUITE 1, TACOMA, WA 98405-1954
(253) 759-3333
(253) 761-1543
Mailing address
1530 S UNION AVE, SUITE 1, TACOMA, WA 98405-1954
(253) 759-3333
(253) 761-1543
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00028607
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1070663
—
WA
01
—
129188
LABOR AND INDUSTRIES
WA
Enumeration date
02/21/2006
Last updated
11/07/2014
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