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NPI Code Detail

MEDICARE: DR. WILLIAM RAYMOND TOMALINAS III D.C.

MEDICARE:  DR. WILLIAM RAYMOND TOMALINAS III D.C.
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
1111N00000XChiropractorDC-007091-LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1808850OTHERPAFIRST PRIORITY HEALTH
2974293OTHERPABLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1821094145
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM RAYMOND TOMALINAS III D.C.
Provider Business Mailing Address
First Line : 685 S MOUNTAIN BLVD
Second Line :
City : MOUNTAIN TOP
State : PA
Zip : 18707-9603
Country : US
Telephone Number : 570-868-3527
Fax Number :
Provider Business Practice Location Address
First Line : 685 S MOUNTAIN BLVD
Second Line :
City : MOUNTAIN TOP
State : PA
Zip : 18707-9603
Country : US
Telephone Number : 570-868-3527
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 07/08/2007

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Directions to “ DR. WILLIAM RAYMOND TOMALINAS III D.C.” Practice Location

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