Individual
DR. GIDDEL G A THOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1515 W FIR ST, PORTALES, NM 88130-5703
(575) 356-6695
(575) 356-5948
Mailing address
PO BOX 843, PORTALES, NM 88130-0843
(575) 356-6695
(575) 356-5948
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
MD2009-0687
NM
2080P0207X
Pediatric Hematology & Oncology Physician
ME978766
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73252875
—
NM
01
—
ME98766
MEDICAL LICENCE
FL
Enumeration date
08/16/2007
Last updated
05/07/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us