Provider Demographics
NPI:1629704333
Name:FINCH, TOM
Entity Type:Individual
Prefix:
First Name:TOM
Middle Name:
Last Name:FINCH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23455 MARIPOSA AVE
Mailing Address - Street 2:
Mailing Address - City:TEHACHAPI
Mailing Address - State:CA
Mailing Address - Zip Code:93561-8037
Mailing Address - Country:US
Mailing Address - Phone:661-343-2051
Mailing Address - Fax:661-422-3754
Practice Address - Street 1:23455 MARIPOSA AVE
Practice Address - Street 2:
Practice Address - City:TEHACHAPI
Practice Address - State:CA
Practice Address - Zip Code:93561-8037
Practice Address - Country:US
Practice Address - Phone:661-343-2051
Practice Address - Fax:661-422-3754
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-26
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service