Individual
TODD THORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
218 W NEZ PERCE, JEROME, ID 83338
(208) 324-3471
(208) 324-9191
Mailing address
794 EASTLAND DR, TWIN FALLS, ID 83301-6856
(208) 737-6718
(208) 324-9191
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-1822
ID
Other
Enumeration date
11/02/2015
Last updated
04/08/2021
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