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NPI Code Detail

MEDICARE: DR. THOMAS EDWARD HUTCH M.D.

MEDICARE: DR. THOMAS EDWARD HUTCH 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
12083A0300XAddiction Medicine (Preventive Medicine) PhysicianMD60760227WA
2207Q00000XFamily Medicine PhysicianMD60760227WA

General Provider Information

NPI Number : 1669866893
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS EDWARD HUTCH M.D.
Provider Business Mailing Address
First Line : 3320 AUBURN WAY N
Second Line :
City : AUBURN
State : WA
Zip : 98002-1805
Country : US
Telephone Number : 259-999-5722
Fax Number : 253-999-5740
Provider Business Practice Location Address
First Line : 3320 AUBURN WAY N
Second Line :
City : AUBURN
State : WA
Zip : 98002-1805
Country : US
Telephone Number : 253-999-5750
Fax Number : 253-999-5740
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2015
Last Update Date : 06/02/2022

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