Wiltbank, Thomas B

Wiltbank, Thomas B is an individual health care provider with primary practice located at 5777 E Mayo Blvd , Phoenix AZ 85054-4502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine, which is considered as his primary health care specialty. Wiltbank, Thomas B can be contacted via phone (480) 301-8000.

Contact Information

Primary practice address
5777 E Mayo Blvd Phoenix AZ 85054-4502
Phone: (480) 301-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Blood Banking & Transfusion Medicine 207ZB0001X 19100 Arizona

Profile Details

NPI number 1356448153
LBN Legal business name Wiltbank, Thomas B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Oct 31st, 2007 - about 18 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 1356448153 NPPES
Arizona MEDICAID 445719

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