Individual
MR. BRIAN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
2715 N 3RD ST, PHOENIX, AZ 85004-1106
(602) 808-2800
(602) 808-2799
Mailing address
202 E EARLL DR, #200, PHOENIX, AZ 85012-2634
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP8948
AZ
Other
Enumeration date
09/09/2016
Last updated
09/12/2016
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