Individual
MR. IAN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, PMHNP-BC
Contact information
Practice address
350 N WILMOT RD, TUCSON, AZ 85711
(520) 872-2058
Mailing address
3501 E SPEEDWAY BLVD, TUCSON, AZ 85716-3917
(520) 833-5171
(520) 318-7101
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP10990
AZ
Other
Enumeration date
09/06/2017
Last updated
07/29/2018
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