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Organization
SEAN R THOMAS MD, INC
Active
Organization
SEAN R THOMAS MD, INC
Active
Other names
American Desert Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANUARIE BAUTISTA (CONTRACTS DIRECTOR)
(760) 228-3366
Entity
Organization
Contact information
Practice address
6186 ADOBE RD, TWENTYNINE PALMS, CA 92277-2652
(760) 361-8525
(760) 361-8528
Mailing address
55585 29 PALMS HWY, YUCCA VALLEY, CA 92284-2505
(760) 228-3366
(760) 228-3369
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/29/2006
Last updated
02/26/2015
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