Organization
STEVEN O THOMAS MD
Active
Organization
STEVEN O THOMAS MD
Active
Other names
EHS FIRST CARE NORTH
Organization subpart
No
Provider details
NPI number
Authorized official
DIRENDIA SHACKELFORD (MANAGED CARE SPECIALIST)
(800) 654-0889
Entity
Organization
Contact information
Practice address
6208 N COLTON ST, SPOKANE, WA 99208-8100
(509) 489-2373
(509) 487-2941
Mailing address
6208 N COLTON ST, SPOKANE, WA 99208-8100
(509) 489-2373
(509) 487-2941
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
MD00015869
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4932491
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
8114704
—
WA
Enumeration date
05/01/2007
Last updated
01/25/2010
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