Individual
CHRISTOPHER WEBB THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., ATC, OTC
Contact information
Practice address
1219 GUSDORF RD STE A, TAOS, NM 87571-6499
(575) 758-0009
(575) 758-8736
Mailing address
PO BOX 283, EL PRADO, NM 87529-0283
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
539
NM
246ZS0410X
Surgical Technologist
11-0619
GA
Other
Enumeration date
05/14/2012
Last updated
04/02/2013
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