Individual
ALAN V THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
6501 TRUXTUN AVE, BAKERSFIELD, CA 93309-0633
(661) 322-2206
(661) 327-7027
Mailing address
6501 TRUXTUN AVE, BAKERSFIELD, CA 93309-0633
(661) 322-2206
(661) 327-7027
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16173
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA16173
STATE LICENSE
CA
01
—
ZZZ01707Z
MEDICARE GROUP PTAN
—
Enumeration date
01/22/2007
Last updated
12/07/2012
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