Provider Demographics
NPI:1609081629
Name:MEEKS, THOMAS JAN (DO)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:JAN
Last Name:MEEKS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9927 MICKELBERRY RD NW STE 121
Mailing Address - Street 2:
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-7861
Mailing Address - Country:US
Mailing Address - Phone:360-286-2456
Mailing Address - Fax:855-653-6340
Practice Address - Street 1:9927 MICKELBERRY RD NW STE 121
Practice Address - Street 2:
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-7861
Practice Address - Country:US
Practice Address - Phone:360-286-2456
Practice Address - Fax:855-653-6340
Is Sole Proprietor?:No
Enumeration Date:2007-05-12
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAOP00002281208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery