Individual
THOMAS SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3330 N 2ND ST STE 601, PHOENIX, AZ 85012-2395
(602) 230-7373
Mailing address
3101 N CENTRAL AVE STE 550, PHOENIX, AZ 85012-2635
(602) 230-7373
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
100355
IA
363A00000X
Physician Assistant
Primary
PA8488
AZ
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
PA8488
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100355
IOWA DEPARTMENT OF PUBLIC HEALTH DEPARTMENT OF PROFESSIONAL LICENSING
IA
Enumeration date
03/23/2020
Last updated
11/26/2024
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