NPI 1528486289 THOMAS STALLWORTH ARNP KEESLER AFB MS. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Thomas Stallworth - NPI: 1528486289

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: THOMAS STALLWORTH
NPI Number: 1528486289
Entity Type Code: Individual (1)
Gender: M
Credentials: ARNP
License Number: 9331690
Business Practice Address: 301 Fisher St
Pediatric Clinic Keesler Afb, MS - 395342508
Business Phone Number: 2283763437
Business Fax Number: 2283760198
Mailing Address: 301 Fisher St, Pediatric Clinic
KEESLER AFB
State: MS
Postal Code: 395342508
Phone Number: 2283763437
Fax Number: 2283760198
NPI Enumeration Date: 03/31/2014
NPI Last Update Date: 03/31/2014
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 363LP0200X
License Number: 9331690
Healthcare Provider Taxonomy:
(Secondary)
Y
State: FL
Taxonomy Type: Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification: Nurse Practitioner
Taxonomy Specialization: Pediatrics
Taxonomy Definition:


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