Doctor Name: | MS. RUTH M THOMAS |
NPI Number: | 1356375992 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 1014617 |
Business Practice Address: | Soldier Creek Road,box 400 Rosebud Indian Health Service Hospital Rosebud, SD - 575700400 |
Business Phone Number: | 6057472231 |
Business Fax Number: | 6057472216 |
Mailing Address: | Po Box 727, ROSEBUD |
State: | SD |
Postal Code: | 575700727 |
Phone Number: | 6057472231 |
Fax Number: | 6057472216 |
NPI Enumeration Date: | 07/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 1014617 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |