Dallman, Thomas Gary

Dallman, Thomas Gary is an sole proprietor health care provider with primary practice located at 1355 Ramar Rd Suite 12, Bullhead City AZ 86442-7100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Dallman, Thomas Gary can be contacted via phone (928) 763-9505.

Contact Information

Primary practice address
1355 Ramar Rd Suite 12 Bullhead City AZ 86442-7100
Fax: (928) 763-7370
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 16390 Arizona

Profile Details

NPI number 1568643757
LBN Legal business name Dallman, Thomas Gary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2007
Last updated Aug 26th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568643757 NPPES
Arizona Other 110023320 PALMETTO R/R GBA
Arizona Other AZ0189940 PALMETTO R/R GBA

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