Organization
INFECTIOUS DISEASE CENTER OF YUMA PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANIL THOMAS MD (PARTNER)
(928) 317-8118
Entity
Organization
Contact information
Practice address
2451 S AVENUE A STE 5, YUMA, AZ 85364-7133
(928) 317-8118
Mailing address
2451 S AVENUE A STE 5, YUMA, AZ 85364-7133
(928) 317-8118
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
29333
AZ
207RI0200X
Infectious Disease Physician
Primary
29333
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
588238
—
AZ
Enumeration date
11/09/2006
Last updated
12/17/2007
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