Basic Information
| Provider Information | |||||||||
| NPI: | 1518027549 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HARPER | ||||||||
| FirstName: | THOMAS | ||||||||
| MiddleName: | WARREN | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1125 N 28TH ST | ||||||||
| Address2: | |||||||||
| City: | TACOMA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 984032915 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2537524590 | ||||||||
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| Practice Location | |||||||||
| Address1: | 9040 JACKSON AVE MADIGAN ARMY MEDICAL CENTER | ||||||||
| Address2: | |||||||||
| City: | TACOMA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 984310001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2534775051 | ||||||||
| FaxNumber: | 2534775098 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/11/2006 | ||||||||
| LastUpdateDate: | 04/16/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/16/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 171000000X | N | Other Service Providers | Military Health Care Provider | 207Q00000X | 035880 | WA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.