MR. THEODORE THOMAS III, PA-C

Physician Assistant

Active Individual
NPI: 1902387863

Practice Address

1615 DELAWARE ST
Longview, WA 98632

Phone: (360) 414-2000

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes PA61012347 (WA)

Frequently Asked Questions

NPI 1902387863 is the National Provider Identifier for MR. THEODORE THOMAS III, PA-C, a Physician Assistant provider located in Longview, WA. This NPI was enumerated on August 28, 2018.
MR. THEODORE THOMAS III, PA-C practices at 1615 DELAWARE ST, Longview, WA 98632.

Quick Facts

NPI
1902387863
Type
Individual
Enumerated
Aug 28, 2018
Last Updated
Feb 11, 2023

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