Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 01584 | MD |
NPI | 1033471990 |
---|---|
Provider Name | John M Thomas |
First Address | Salisbury, MD 21801-4700 |
Second Address | Salisbury, MD 21801-4700 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2012 |
Last Update Date | 20/01/2016 |