Individual
ANDREW JAMES THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
123 MARGARET LN STE B1, GRASS VALLEY, CA 95945-5268
(530) 410-0368
(530) 410-0864
Mailing address
123 MARGARET LN STE C1, GRASS VALLEY, CA 95945-5268
(530) 410-0368
(530) 410-0864
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
320754
LA
207Y00000X
Otolaryngology Physician
Primary
C171386
CA
207Y00000X
Otolaryngology Physician
MD186941
OR
Other
Enumeration date
03/21/2013
Last updated
06/27/2022
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