Individual
DR. CLINTON M THOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1686 W RIVERSTONE DR STE 1, COEUR D ALENE, ID 83814-5779
(208) 765-4807
(866) 573-0853
Mailing address
1686 W RIVERSTONE DR STE 1, COEUR D ALENE, ID 83814-5779
(208) 765-4807
(208) 765-2903
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
M13168
ID
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
M13168
ID
Other
Enumeration date
05/20/2011
Last updated
05/23/2023
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