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THOMAS G REARDON
THOMAS G REARDON is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1376722587. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 42391252. The primary specialty is CHIROPRACTIC. The organization is THOMAS G REARDON D.C. P.S.. The address is 1717 NE 44TH ST G, , RENTON, WA, 980569001. The zip code is 980569001.
|Nation Provider ID||1376722587|
|PAC ID by PECOS||42391252|
|Professional Enrollment ID||I20080114000660|
|Name||THOMAS G REARDON|
|Medical School Name||OTHER|
|All secondary specialties|
|Organization Name||THOMAS G REARDON D.C. P.S.|
|Group Practice PAC ID||9638250756|
|Number of Group Practice members||1|
|Address||1717 NE 44TH ST G, , RENTON, WA, 980569001|
|Hospital affiliation LBN|