Doctor Name: | DR. ANDREW ALLEN THORESON |
NPI Number: | 1144495722 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | A115917 |
Business Practice Address: | 101 Bodin Cir Travis Afb, CA - 945351809 |
Business Phone Number: | 7074237244 |
Business Fax Number: | |
Mailing Address: | 101 Bodin Cir, TRAVIS AFB |
State: | CA |
Postal Code: | 945351809 |
Phone Number: | 7074237244 |
Fax Number: | |
NPI Enumeration Date: | 04/24/2008 |
NPI Last Update Date: | 04/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0204X |
License Number: | A115917 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Vascular & Interventional Radiology |
Taxonomy Definition: | A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |