Individual
JOSEPH THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 NORTH ACADEMY AVE, DANVILLE, PA 17822-2025
(570) 271-6621
Mailing address
100 NORTH ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
173771
TN
367500000X
Certified Registered Nurse Anesthetist
20265
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
RN690450
PA
Other
Enumeration date
01/16/2015
Last updated
02/14/2017
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