Individual
ROBERT R THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4015 LAKE OTIS PKWY, SUITE 201, ANCHORAGE, AK 99508-5211
(907) 771-3500
(907) 771-3550
Mailing address
4015 LAKE OTIS PKWY, SUITE 201, ANCHORAGE, AK 99508-5211
(907) 771-3500
(907) 771-3550
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1586
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
205515193
FED TAX ID
—
05
—
MD34481
—
AK
Enumeration date
01/13/2006
Last updated
02/22/2012
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