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Individual

DR. PETRA THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7211 BANK CT, FREDERICK, MD 21703-8483
(240) 215-6310
Mailing address
PO BOX 1400, FAIRFAX, VA 22038-1400
(703) 383-9543
(703) 383-9532

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
0101235337
VA
207RP1001X
Pulmonary Disease Physician
Primary
D48133
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010058937
VA
01
A6950006
DC BS
DC
Enumeration date
10/28/2005
Last updated
09/22/2022
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