Individual
DR. SUSAN DIANE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5069
(505) 521-5381
(505) 521-5376
Mailing address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5069
(505) 521-5381
(505) 521-5376
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2002-0189
NM
Other
Enumeration date
10/16/2006
Last updated
12/04/2007
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