Individual
AUSTIN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 651-1049
Mailing address
1884 W 7225 S, WEST JORDAN, UT 84084-3322
(801) 561-1949
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
56380
CA
Other
Enumeration date
02/14/2019
Last updated
01/03/2022
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