Provider Demographics
NPI:1740521665
Name:TOFT, THOMAS VICTOR (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:VICTOR
Last Name:TOFT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:809 MYLAR PARK DR
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82009-4779
Mailing Address - Country:US
Mailing Address - Phone:307-635-5667
Mailing Address - Fax:
Practice Address - Street 1:809 MYLAR PARK DR
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82009-4779
Practice Address - Country:US
Practice Address - Phone:307-635-5667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-04
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY2100A207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology