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Individual

THOMAS H HIRASA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
804 AINSWORTH DR, SUITE 103, PRESCOTT, AZ 86301-1624
(928) 771-1011
(928) 771-1332
Mailing address
804 AINSWORTH DRIVE, SUITE 103, PRESCOTT, AZ 86301-1624
(928) 771-1011
(928) 771-1332

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
37662
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
313724
AZ
Enumeration date
08/04/2006
Last updated
10/12/2012
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