Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | MD00038094 | WA |
NPI | 1104010214 |
---|---|
Provider Name | Dr. Richard William Thomas |
First Address | Bethesda, MD 20814-4712 |
Second Address | Washington, DC 20310-0111 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2007 |
Last Update Date | 14/03/2017 |