Provider Demographics
NPI:1588604268
Name:SCHERICH, THOMAS CLARENCE (DO)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:CLARENCE
Last Name:SCHERICH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 549
Mailing Address - Street 2:
Mailing Address - City:CAMP VERDE
Mailing Address - State:AZ
Mailing Address - Zip Code:86322-0549
Mailing Address - Country:US
Mailing Address - Phone:928-639-5550
Mailing Address - Fax:928-639-5566
Practice Address - Street 1:460 FINNIE FLAT RD
Practice Address - Street 2:
Practice Address - City:CAMP VERDE
Practice Address - State:AZ
Practice Address - Zip Code:86322
Practice Address - Country:US
Practice Address - Phone:928-639-5550
Practice Address - Fax:928-639-5566
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3153207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine