Individual
DR. REXY ANN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 205-7591
Mailing address
190 E BANNOCK ST STE 274, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9407174
KS
208M00000X
Hospitalist Physician
Primary
M-12551
ID
Other
Enumeration date
07/27/2009
Last updated
12/03/2021
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