1902963119

Everything you always wanted to know about MONTINE JUDE THOMAS M.D. but were afraid to ask.

MONTINE JUDE THOMAS M.D.

You can also download the this 1902963119 data report as csv | excel | json | xml
Provider Last Name Provider Middle Name Provider First Name Provider Credential
MONTINE JUDE THOMAS M.D.
Gender:
Male
Enumeration date:
2007-01-03
Last update date:
2016-09-28
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
Search for THOMAS, MONTINE in
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Identifiers

identifier description issuer state
0231594 Other L&I WA
G143507 Other MEDICAL BOARD CERTIFICATE NUMBER CA
G25287 Medicare UPIN none none
220032668 Other RAILROAD MEDICARE WA
294490 Other INTERNAL ID-MOTOR VEHICLE ID none
8365660 Medicaid none WA
AB29911 Medicare PIN none WA

Taxonomies

Taxonomy State License Number Primary?
207ZP0102X Anatomic Pathology & Clinical Pathology WA MD00041243 N
207ZN0500X Neuropathology CA G143507 N
207ZP0101X Anatomic Pathology CA G143507 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 6507234000
Practice Location Address Telephone Number 6504984301

Addresses

Type Address City State Postal Country
Mailing Address 1804 EMBARCADERO RD PALO ALTO CA 94303 CA
Practice Location Address 300 PASTEUR DR SUITE 100 PALO ALTO CA 0 CA

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300 PASTEUR DR CA STANFORD
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Organization
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Individual
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Organization
5565 W LAS POSITAS BLVD CA PLEASANTON
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
725 WELCH RD CA PALO ALTO
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Individual
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Individual
300 PASTEUR DR CA STANFORD
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Individual
300 PASTEUR DR CA STANFORD
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Individual
725 WELCH RD CA PALO ALTO
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
725 WELCH RD CA PALO ALTO
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Individual
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Individual
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Individual
725 WELCH RD CA PALO ALTO
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Individual
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Individual
300 PASTEUR DR CA STANFORD
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Individual
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Individual
725 WELCH RD CA PALO ALTO
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Individual
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Individual
300 PASTEUR DR CA STANFORD
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
725 WELCH RD CA PALO ALTO
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Individual
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Individual
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Individual
725 WELCH RD CA PALO ALTO
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Individual
725 WELCH RD CA PALO ALTO
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Individual
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Individual
300 PASTEUR DR CA STANFORD
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Individual
300 PASTEUR DR CA STANFORD
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Individual
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Individual
300 PASTEUR DR CA STANFORD
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Individual
725 WELCH RD CA PALO ALTO
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Individual
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Individual
300 PASTEUR DR CA STANFORD
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
725 WELCH RD CA PALO ALTO
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
725 WELCH RD CA PALO ALTO
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Individual
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Organization
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