Provider Demographics
NPI:1710077243
Name:CHAUNCEY, THOMAS REEVE (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:REEVE
Last Name:CHAUNCEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:5314 S HUDSON ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-2138
Mailing Address - Country:US
Mailing Address - Phone:206-764-2969
Mailing Address - Fax:206-764-2851
Practice Address - Street 1:1660 S COLUMBIAN WAY
Practice Address - Street 2:MARROW TRANSPLANT UNIT (111)
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-1532
Practice Address - Country:US
Practice Address - Phone:206-764-2969
Practice Address - Fax:206-764-2851
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00024052207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology