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Individual

THOMAS GREGORY MCGRAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C., C.C.S.P.

Contact information

Practice address
20120 76TH AVE W, EDMONDS, WA 98026-6801
(425) 774-6060
(425) 712-1287
Mailing address
20120 76TH AVE W, EDMONDS, WA 98026-6801
(425) 774-6060
(425) 712-1287

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
CH00001509
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R74135
REGENCE PIN#
WA
Enumeration date
02/16/2007
Last updated
07/08/2007
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