Individual
GEORGE W THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1900 W CHINDEN BLVD, MERIDIAN, ID 83646-6690
(208) 809-2860
(208) 809-2861
Mailing address
PO BOX 191050, BOISE, ID 83719-1050
(208) 955-6522
(208) 955-6503
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DO26572
OR
207Q00000X
Family Medicine Physician
Primary
O-0894
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134749
—
OR
Enumeration date
05/31/2006
Last updated
06/23/2016
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