Individual
DR. ROY FREDERICK THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-4930
(253) 968-2252
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-2252
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
11826
ND
207Y00000X
Otolaryngology Physician
22766
NE
207Y00000X
Otolaryngology Physician
Primary
60257137
WA
207Y00000X
Otolaryngology Physician
AFE102255
CA
207Y00000X
Otolaryngology Physician
MD60257137
WA
208D00000X
General Practice Physician
22766
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2024633
—
WA
Enumeration date
02/08/2006
Last updated
10/13/2022
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