Individual
JOHN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
821 N DIXON RD, KOKOMO, IN 46901-1754
(765) 452-0878
(765) 452-1826
Mailing address
PO BOX 38, BURLINGTON, IN 46915-0038
(765) 452-0878
(765) 452-1826
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000438A
IN
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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