Stanton, Thomas Spencer

Stanton, Thomas Spencer is an individual health care provider with primary practice located at 110 Lynch Creek Way Ste A , Petaluma CA 94954-2337. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Stanton, Thomas Spencer can be contacted via phone (707) 763-0600.

Contact Information

Primary practice address
110 Lynch Creek Way Ste A Petaluma CA 94954-2337
Phone: (707) 763-0600
Fax: (707) 765-1757
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X G63014 California
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X G63014 California
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X G63014 California

Profile Details

NPI number 1699855445
LBN Legal business name Stanton, Thomas Spencer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Jul 17th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699855445 NPPES
California MEDICAID 00G630140

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