Individual
MRS. AMBER L THOMAS
Active
Individual
MRS. AMBER L THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
OA003268
PA
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0994759
KEYSTONE
PA
01
—
1567509
GATEWAY MEDICARE ASSURED
PA
01
—
1926521
HIGHMARK BLUE SHIELD
PA
Enumeration date
09/09/2005
Last updated
02/08/2016
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