Dr. Thomas Reger Piazza, M.D.
Family Medicine in Eglin Afb, FL. Individual provider (NPI-1).
NPI number1083662472
StatusActive
Last updated in NPPESDec 13, 2017
Details
- NPI
- 1083662472
- Entity type
- Individual (NPI-1)
- Name
- Dr. Thomas Reger Piazza
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 5, 2006
- Last updated
- Dec 13, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | D0078052 | MD | Yes |
Practice location
307 Boatner Rd Ste 114Eglin Afb, FL 32542-1302
Phone 850-883-9484
Mailing address
310 W Losey St375th Mdg
Scott Afb, IL 62225-5250
Phone 618-256-6267
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