Doctor Name: | MRS. AMBER L THOMAS |
NPI Number: | 1336133909 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA C |
License Number: | |
Business Practice Address: | 214 Peach Orchard Rd Mc Connellsburg, PA - 172338559 |
Business Phone Number: | 7174856110 |
Business Fax Number: | |
Mailing Address: | 214 Peach Orchard Rd, MC CONNELLSBURG |
State: | PA |
Postal Code: | 172338559 |
Phone Number: | 7174856110 |
Fax Number: | |
NPI Enumeration Date: | 09/09/2005 |
NPI Last Update Date: | 02/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |