Dr. Thomas Gary Dallman, M.D.
Internal Medicine in Bullhead City, AZ. Individual provider (NPI-1).
NPI number1568643757
StatusActive
Last updated in NPPESAug 26, 2022
Details
- NPI
- 1568643757
- Entity type
- Individual (NPI-1)
- Name
- Dr. Thomas Gary Dallman
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 16, 2007
- Certification date
- Aug 26, 2022
- Last updated
- Aug 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 16390 | AZ | Yes |
Practice location
1355 Ramar RdSuite 12
Bullhead City, AZ 86442-7100
Phone 928-763-9505 · Fax 928-763-7370
Mailing address
1355 Ramar RdSuite 12
Bullhead City, AZ 86442-7100
Phone 928-763-9505 · Fax 928-763-7370
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