Provider Demographics
NPI:1699093922
Name:EIGEL, THOMAS JOHN JR (PA-C)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:JOHN
Last Name:EIGEL
Suffix:JR
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9119 MIL PARK AVE.
Mailing Address - Street 2:WINDER FAMILY MEDICINE CLINIC
Mailing Address - City:JOINT BASE LEWIS-MCCORD
Mailing Address - State:WA
Mailing Address - Zip Code:98433
Mailing Address - Country:US
Mailing Address - Phone:253-477-2565
Mailing Address - Fax:
Practice Address - Street 1:9119 MIL PARK AVE.
Practice Address - Street 2:WINDER FAMILY MEDICINE CLINIC
Practice Address - City:JOINT BASE LEWIS-MCCORD
Practice Address - State:WA
Practice Address - Zip Code:98433
Practice Address - Country:US
Practice Address - Phone:253-477-0996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-11
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant