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Organization

SEAN R THOMAS MD, INC

Active
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Organization

SEAN R THOMAS MD, INC

Active
Parent organization
SEAN R THOMAS MD, INC
Other names
American Desert Medical Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
SEAN R THOMAS MD, INC
Authorized official
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
Primary
A60305
CA
208000000X
Pediatrics Physician
A60305
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR0089550
GROUP / RH#
CA
05
—
GR0089550
—
CA
Enumeration date
04/16/2007
Last updated
02/26/2015
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