Provider Demographics
NPI:1245268507
Name:HARMON, THOMAS V (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:V
Last Name:HARMON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1951 N WILMOT RD
Mailing Address - Street 2:BUILDING 2
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-8000
Mailing Address - Country:US
Mailing Address - Phone:520-795-5845
Mailing Address - Fax:520-795-8620
Practice Address - Street 1:2424 N WYATT DR STE 100
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-6119
Practice Address - Country:US
Practice Address - Phone:520-324-8621
Practice Address - Fax:520-324-3935
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2023-09-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ21601208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZF11519Medicare UPIN
AZ107585Medicare ID - Type Unspecified
AZ96966OtherPACIFICARE
AZ141268-04OtherAHCCCS
AZ2Z2583OtherHEALTH NET
AZF11519Medicare UPIN