MEDICARE: DR. THOMAS R TOBIN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	MD00043488	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194801589
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS R TOBIN M.D.

Provider Business Mailing Address
First Line	:	3319 E 71ST AVE
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99223-1908
Country	:	US
Telephone Number	:	509-448-2389
Fax Number	:	888-868-4804

Provider Business Practice Location Address
First Line	:	902 S ADAMS ST
Second Line	:
City	:	RITZVILLE
State	:	WA
Zip	:	99169-2228
Country	:	US
Telephone Number	:	509-448-2389
Fax Number	:	888-868-4804

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	10/29/2013

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