Individual
TARA L THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 MEDICAL PARK, WHEELING, WV 26003-6379
(304) 243-3343
(304) 243-3078
Mailing address
1 MEDICAL PARK, WHEELING, WV 26003-6379
(304) 243-3343
(304) 243-3078
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
52487
WV
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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