Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | OS-006926-L | PA |
NPI | 1003809807 |
---|---|
Provider Name | Dr. Paul D Thomas |
First Address | Hanover, PA 17331-1587 |
Second Address | Hanover, PA 17331-1587 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/08/2005 |
Last Update Date | 14/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F26618 | (02) | PA |