Individual
MR. EDMOND E THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
1083366
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60539047
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942272844
—
WA
01
—
P01540072
RR MEDICARE
WA
Enumeration date
02/03/2006
Last updated
01/29/2016
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