Individual
MR. DOUGLAS A THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
633 NW YORK DR STE 110, BEND, OR 97703-9701
(541) 383-8066
Mailing address
633 NW YORK DR STE 110, BEND, OR 97703-9701
(541) 383-8066
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
TL 360
WY
363AM0700X
Medical Physician Assistant
Primary
PA156119
OR
Other
Enumeration date
06/16/2006
Last updated
10/03/2024
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