Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 0101252108 | VA |
N | 207XS0106X | Orthopaedic Hand Surgeon | 0101252108 | VA |
Y | 2086S0105X | Surgery of the Hand | 0101252108 | VA |
NPI | 1669653523 |
---|---|
Provider Name | Dr. Peter Ronald Thomas |
First Address | Baltimore, MD 21275-5420 |
Second Address | Alexandria, VA 22310-3246 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2007 |
Last Update Date | 22/10/2020 |