Individual
DR. KEITH JAY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
170 FORD RD, JOHN DAY, OR 97845-2009
(541) 575-1311
Mailing address
PO BOX 5, JOHN DAY, OR 97845-0005
(541) 575-0499
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
C51666
CA
208600000X
Surgery Physician
Primary
MD26271
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027967
—
OR
Enumeration date
12/01/2006
Last updated
07/08/2007
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