Individual
DR. NICHOLE LEE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
7010 E CHAUNCEY LN, SUITE 225, PHOENIX, AZ 85054
(480) 585-5200
(480) 585-5233
Mailing address
7010 E CHAUNCEY LN, SUITE 225, PHOENIX, AZ 85054-3117
(480) 585-5200
(480) 585-5233
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
005241
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
588635
—
AZ
Enumeration date
08/04/2008
Last updated
04/24/2012
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