Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | MD00036364 | WA |
NPI | 1366549040 |
---|---|
Provider Name | Antoine G. Tohmeh |
First Address | Spokane, WA 99218-1246 |
Second Address | Spokane, WA 99218-1246 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2006 |
Last Update Date | 20/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8230872 | (05) | WA |
B69802 | (02) | WA |