Individual
SHINY SUSAN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7615,EAST BASELINE ROAD, MESA, AZ 85209
(480) 962-0101
Mailing address
99 S GOLD DR, APACHE JUNCTION, AZ 85120-5035
(480) 962-0101
(480) 962-0202
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
RNP230519
AZ
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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