Thomas Leroy Dexter III

NPI #1841865805 in Cedar Lake, Indiana

Provider Information

NPI Number: 1841865805
Entity Type: Individual
Name: Thomas Leroy Dexter III
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: May 23, 2021
Last Updated: Sep 7, 2023

Practice Location

Address: 9861 LINCOLN PLAZA WAY UNIT 8
City: Cedar Lake
State: Indiana
ZIP Code: 46303-7301
Phone: (615) 915-8324

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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