| Doctor Name: | SEAN R THOMAS |
| NPI Number: | 1093725855 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | A60305 |
| Business Practice Address: | 55585 29 Palms Hwy Yucca Valley, CA - 922842505 |
| Business Phone Number: | 7602283366 |
| Business Fax Number: | 7602283369 |
| Mailing Address: | 55585 29 Palms Hwy, YUCCA VALLEY |
| State: | CA |
| Postal Code: | 922842505 |
| Phone Number: | 7602283366 |
| Fax Number: | 7602283369 |
| NPI Enumeration Date: | 08/08/2006 |
| NPI Last Update Date: | 04/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A60305 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |