Dr Thor Farnsworth, MD | |
9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-5001 | |
(253) 968-1110 | |
Not Available |
Full Name | Dr Thor Farnsworth |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 9040a Jackson Ave, Joint Base Lewis Mcchord, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1437414406 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2085R0202X | Radiology - Diagnostic Radiology | MD-17603 (Hawaii) | Primary |
Entity Name | Parkersburg Radiology Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669478111 PECOS PAC ID: 6103712401 Enrollment ID: O20200205002366 |
Mailing Address | Practice Location Address |
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Dr Thor Farnsworth, MD 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-0001 Ph: (253) 968-1110 | Dr Thor Farnsworth, MD 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431-5001 Ph: (253) 968-1110 |
William Bai Lu Ji, Radiology Medicare: Medicare Enrolled Practice Location: 9040 Jackson Ave, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-0117 | |
Dr. Dusten Malcolm Macdonald, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: Madigan Army Medical Ctr, 9040 Fitzsimmons Drive, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-2133 | |
Daniel William Bess, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 9040 Jackson Ave, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-0554 | |
Dr. Bryan Kantner, DO Radiology Medicare: Medicare Enrolled Practice Location: 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-1511 | |
Patrick Miles Chesley, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-0236 |