Individual
DR. CHERIE ALTA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
890 W 4TH ST, BENSON, AZ 85602-6437
(520) 586-3664
(520) 586-3486
Mailing address
1003 OLD KINGS RD, HOLLY HILL, FL 32117-3024
(386) 307-8731
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
33692
WI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
MD-9100
HI
207Q00000X
Family Medicine Physician
Primary
27014
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33692
WI STATE LIC
WI
Enumeration date
01/11/2006
Last updated
04/01/2021
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