Individual
DR. JEANINE M THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 214-2920
(928) 214-2925
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
(928) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
33965
AZ
207R00000X
Internal Medicine Physician
MD00032895
WA
208M00000X
Hospitalist Physician
Primary
33965
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
977845
—
AZ
Enumeration date
02/17/2006
Last updated
08/23/2022
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