Individual
DR. JOHN WIX THOMAS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD ENT
Contact information
Practice address
1703 TERMINO AVE, #210, LONG BEACH, CA 90804
(562) 498-6653
(562) 498-7794
Mailing address
1703 TERMINO AVE, #210, LONG BEACH, CA 90804
(562) 498-6653
(562) 498-7794
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G13538
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000G13538
—
CA
Enumeration date
09/12/2006
Last updated
07/09/2007
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