Provider Demographics
NPI:1821063843
Name:GOLE, THOMAS F (DO)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:F
Last Name:GOLE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CORNELL UNIVERSITY HEALTH SERVICES
Mailing Address - Street 2:HO PLAZA
Mailing Address - City:IHTACA
Mailing Address - State:NY
Mailing Address - Zip Code:14853-3101
Mailing Address - Country:US
Mailing Address - Phone:607-255-6946
Mailing Address - Fax:607-254-3503
Practice Address - Street 1:200 UNIVERSITY PKWY
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98901-9539
Practice Address - Country:US
Practice Address - Phone:509-452-5100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2021-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60789815207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine