Organization
DIANE M THOMAS M D P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE M THOMAS M.D. (OWNER)
(775) 331-5023
Entity
Organization
Contact information
Practice address
4868 SPARKS BLVD, SUITE 102, SPARKS, NV 89436-8207
(775) 331-5023
(775) 331-5031
Mailing address
4868 SPARKS BLVD, SUITE 102, SPARKS, NV 89436-8207
(775) 331-5023
(775) 331-5031
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9450
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2016817
—
NV
01
—
29D1015353
CLIA
NV
01
—
DQ4188
RAILROAD MEDICARE
NV
Enumeration date
09/20/2007
Last updated
07/22/2021
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