Individual
TANYA L THOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
9045 W ATHENS ST, PEORIA, AZ 85382-8155
(623) 760-5802
(623) 572-3449
Mailing address
PO BOX 11163, GLENDALE, AZ 85318-1163
(623) 760-5802
(623) 572-3449
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
0658
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
294773
—
AZ
Enumeration date
03/21/2007
Last updated
03/21/2011
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