Individual
THOMAS L PODOLSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1881 W 24TH ST STE C, YUMA, AZ 85364-6298
(928) 726-9564
Mailing address
1881 W 24TH ST STE C, YUMA, AZ 85364-6298
(928) 726-9564
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
14643
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180003217
RAILROAD MEDICARE
AZ
05
—
256918
—
AZ
Enumeration date
01/04/2007
Last updated
09/26/2008
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