Individual provider · Type 1 NPI

Thomas Glennon Dorlac

Specialist · Wenatchee, WA

NPI number 1649585217 Active

Practice location

620 N Emerson Ave
Wenatchee, WA 98801-6619

Call (509) 663-5420 Map

Mailing address

1023 W Park St
Wenatchee, WA 98801-3626

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMA 60166075 (WA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1649585217

Thomas Glennon Dorlac's National Provider Identifier is 1649585217, issued on Aug 8, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Wenatchee, WA. The record was last updated on Aug 8, 2010.