Individual
BRANDON OWEN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
167 N. MAIN ST., TUBA CITY, AZ 86045-0600
(928) 283-2501
Mailing address
15291 CR 25, DOLORES, CO 81323
(928) 283-2501
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
009030
AZ
Other
Enumeration date
04/21/2011
Last updated
04/21/2011
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