Individual
DR. JAMES ROBERT THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., M.D.
Contact information
Practice address
3939 STOCKTON HILL RD, SUITE C, KINGMAN, AZ 86409-3247
(928) 681-4273
(928) 681-4276
Mailing address
PO BOX 6011, KINGMAN, AZ 86402-6011
(928) 681-4273
(928) 681-4276
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
22397
SD
207VM0101X
Maternal & Fetal Medicine Physician
Primary
BOARD ELIGIBLE
SD
207VX0000X
Obstetrics Physician
22397
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17089
ALLOPATHIC LICENSE AZ
AZ
01
—
1Z9856
HEALTH NET
AZ
01
—
2007300
CIGNA HMO
AZ
01
—
201257
ALLOPATHIC LICENSE CA
CA
05
—
269432
—
AZ
01
—
3580150.02
CIGNA PPO
AZ
01
—
4735
ATENA
AZ
01
—
7959
CANADIAN MD LICENSE
—
01
—
860843193N3
PACIFIC CARE
AZ
01
—
AZ0802940
BLUE CROSS BLUE SHIELD
AZ
05
—
XPY075910
—
CA
05
—
Z0836
—
UT
Enumeration date
07/13/2005
Last updated
10/12/2012
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