Individual
BREA DANIELLE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1100 REID PKWY, RICHMOND, IN 47374-1157
(765) 935-8802
Mailing address
1100 REID PARKWAY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374-1157
(765) 935-8802
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02006505A
IN
207P00000X
Emergency Medicine Physician
34.013599
OH
Other
Enumeration date
04/04/2017
Last updated
01/07/2022
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