Individual
STEPHEN L THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6112 E BROWN RD, MESA, AZ 85205-4955
(480) 924-4422
(480) 924-8822
Mailing address
6112 E BROWN RD, MESA, AZ 85205-4955
(480) 924-4422
(480) 924-8822
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27161
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110191782
RAILROAD MEDICARE
AZ
05
—
475295
—
AZ
01
—
86080015085259A716
TRIWEST
AZ
Enumeration date
11/21/2005
Last updated
10/26/2011
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