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Individual

DR. ERIC L THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
14155 N 83RD AVE STE A105, PEORIA, AZ 85381-5640
(623) 486-7700
(623) 486-7703
Mailing address
2525 E THOMAS RD, PHOENIX, AZ 85016-7935
(602) 470-5000

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101058099
VA
208600000X
Surgery Physician
Primary
41166
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
442730
AZ
Enumeration date
02/01/2006
Last updated
03/06/2019
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