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Individual
SISY THOMAS
Active
Individual
SISY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
247977
AZ
207QA0505X
Adult Medicine Physician
247977
AZ
363LF0000X
Family Nurse Practitioner
Primary
247977
AZ
Other
Enumeration date
01/21/2020
Last updated
10/06/2023
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