Individual
PAMELA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7950 W JEFFERSON BLVD, SUITE 210, FORT WAYNE, IN 46804-4140
(260) 432-2297
(260) 434-6420
Mailing address
7916 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 434-6339
(260) 434-6389
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01053135A
IN
2080P0205X
Pediatric Endocrinology Physician
01053135A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200288570A
—
IN
Enumeration date
04/24/2006
Last updated
06/11/2013
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