Provider Demographics
NPI:1003033671
Name:MCCURDY, THOMAS O (OD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:O
Last Name:MCCURDY
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 A EAST 8TH ST
Mailing Address - Street 2:
Mailing Address - City:PORT ANGELES
Mailing Address - State:WA
Mailing Address - Zip Code:98362-6246
Mailing Address - Country:US
Mailing Address - Phone:360-457-1032
Mailing Address - Fax:360-452-9604
Practice Address - Street 1:504 E 8TH ST
Practice Address - Street 2:SUITE A
Practice Address - City:PORT ANGELES
Practice Address - State:WA
Practice Address - Zip Code:98362-6246
Practice Address - Country:US
Practice Address - Phone:360-457-1032
Practice Address - Fax:360-452-9604
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOD00001134174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist