Individual
THOMAS F DOUTHIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
900 N. LIBERTY ST., SUITE 400, BOISE, ID 83704-8707
(208) 367-3320
(208) 367-7474
Mailing address
900 N. LIBERTY ST, SUITE 400, BOISE, ID 83704-8707
(208) 367-3320
(208) 367-7474
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA470
ID
Other
Enumeration date
10/26/2005
Last updated
04/05/2012
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