Individual
MR. TERRELL LEE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 S ORCHARD ST, BOISE, ID 83705-1966
(208) 919-4692
(208) 506-7865
Mailing address
1754 N FIREBRICK DR, KUNA, ID 83634-5027
(520) 683-6347
(208) 506-7865
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
ID
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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