Individual
DR. SCOTT D THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4971 W OVERLAND RD, BOISE, ID 83705-2822
(208) 472-5050
(208) 472-5051
Mailing address
PO BOX 191050, BOISE, ID 83719-1050
(208) 955-6500
(208) 955-6501
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M7462
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806470600
—
ID
Enumeration date
08/02/2006
Last updated
12/05/2019
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