NPI 1003888108

Thomas D Dea, PAC

Practitioner Physician Assistant Spokane, WA

Practice location

Address: 5633 N Lidgerwood St, Spokane, WA 99208-1224
Phone: (509) 482-2460
Mailing address: 910 N Washington St Suite 209, Spokane, WA 99201-2202

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA10003775 (WA)

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Registry record

NPI: 1003888108
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Feb 2006
Record last updated: 8 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.