Doctor Name: | TANYA L THOMS |
NPI Number: | 1003932328 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPM |
License Number: | 0658 |
Business Practice Address: | 9045 W Athens St Peoria, AZ - 853828155 |
Business Phone Number: | 6237605802 |
Business Fax Number: | 6235723449 |
Mailing Address: | Po Box 11163, GLENDALE |
State: | AZ |
Postal Code: | 853181163 |
Phone Number: | 6237605802 |
Fax Number: | 6235723449 |
NPI Enumeration Date: | 03/21/2007 |
NPI Last Update Date: | 03/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | 0658 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |