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Dr. Frederick W. Thom, MD
Family Medicine Physician in Pismo Beach, California
NPI 1376510529

Frederick W. Thom is a Family Medicine Physician based in San Luis Obispo, CA. Frederick W. Thom practices in Pismo Beach, CA and has the professional credentials of MD. The NPI Number for Frederick W. Thom is 1376510529 and holds a License No. G61780 (California).

The current practice location address for Frederick W. Thom is 877 Oak Park Blvd., Pismo Beach, CA and can be reached out via phone at 805-474-8450 and via fax at 805-474-8454.

Location: 877 Oak Park Blvd., Pismo Beach, CA, 93401-7908
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376510529
Provider Name
Frederick W. Thom
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
877 Oak Park Blvd., Pismo Beach, CA, 93401-7908
Phone Number
805-474-8450
Fax Number
805-474-8454
Provider Enumeration Date
03/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
240629 01 BLUE CROSS WORKERS COMP K
DF2146 01 RAILROAD MEDICARE GROUP
5255526 01 PPNI
0217529 01 WASHINGTON STATE DOL PROV
240630 01 BLUE CROSS WORKERS COMP S
G61780 01 LICENSE
235229 01 BLUE CROSS WORKERS COMP P
P00347364 01 RAILROAD MEDICARE PIN
institution
Provider Business Practice Location Address Details
Address
877 Oak Park Blvd.
City
Pismo Beach
State
California
Zip
93449
Phone Number
805-474-8450
Fax Number
805-474-8454
person
Provider Business Mailing Address Details
Address
877 Oak Park Blvd.
City
Pismo Beach
State
California
Zip
93449
Phone Number
805-474-8450
Fax Number
805-474-8454
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
G61780 (California)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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