Provider Demographics
NPI:1558565200
Name:TOSH, WILLIAM MATTHEW (DO)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:MATTHEW
Last Name:TOSH
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1150 US HIGHWAY 51 BYP W
Mailing Address - Street 2:SUITE C
Mailing Address - City:DYERSBURG
Mailing Address - State:TN
Mailing Address - Zip Code:38024-1888
Mailing Address - Country:US
Mailing Address - Phone:731-285-4345
Mailing Address - Fax:731-285-4344
Practice Address - Street 1:1150 US HIGHWAY 51 BYP W
Practice Address - Street 2:SUITE C
Practice Address - City:DYERSBURG
Practice Address - State:TN
Practice Address - Zip Code:38024-1888
Practice Address - Country:US
Practice Address - Phone:731-285-4345
Practice Address - Fax:731-285-4344
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2008-08-07
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Provider Licenses
StateLicense IDTaxonomies
TNDO0000001944208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery