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NPI Code Detail

MEDICARE: THOMAS H PRICE M.D,

MEDICARE: THOMAS H PRICE 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
1207ZH0000XHematology (Pathology) PhysicianMD00014990WA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4G000162200OTHERWAMEDICARE GROUP PIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1158866284OTHERWAGROUP NPI
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952487613
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS H PRICE M.D,
Provider Business Mailing Address
First Line : 921 TERRY AVE
Second Line :
City : SEATTLE
State : WA
Zip : 98104-1239
Country : US
Telephone Number : 206-292-6500
Fax Number :
Provider Business Practice Location Address
First Line : 921 TERRY AVE
Second Line :
City : SEATTLE
State : WA
Zip : 98104-1239
Country : US
Telephone Number : 206-292-6500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2006
Last Update Date : 11/25/2008

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Directions to “ THOMAS H PRICE M.D,” Practice Location

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