Individual
MR. MICHAEL GAVIN THOMAS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
520 W PALMER DR, NAMPA, ID 83686-8390
(208) 484-7943
Mailing address
520 W PALMER DR, NAMPA, ID 83686-8390
(208) 484-7943
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
YB320561E
ID
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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