Individual
JOHN H THOMAS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
755 HOSPITAL WAY, SUITE B-3, POCATELLO, ID 83201-2717
(208) 232-2146
(208) 232-2770
Mailing address
755 HOSPITAL WAY, SUITE B-3, POCATELLO, ID 83201-2717
(208) 232-2146
(208) 232-2770
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
M-3883
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB028
BLUE CROSS
ID
Enumeration date
09/20/2005
Last updated
07/08/2007
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