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NPI Verification

National Provider Identifier: 1679856439

Thomas William Konowalchuk, Md, Jd

Individual Provider

Credentials

MD, JD

Primary Specialty

General Practice

Code: 208D00000X

All Specialties (2)

Urology

Code: 208800000X

General Practice

Code: 208D00000X

Primary

Practice Address

1070 NE 7TH DR

NEWPORT, OR 973652518

Phone: 541-265-3804

NPI Enumeration Date

September 27, 2011

NPI Number

1679856439

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Thomas Konowalchuk, Md, Jd - NPI 1679856439 | Provider Verification | HormoneMap