Doctor Name: | DAVID C THOMA |
NPI Number: | 1720289200 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | MDR 4858 |
Business Practice Address: | 1 Jarrett White Rd Tripler Army Medical Center Tamc, HI - 968595001 |
Business Phone Number: | 8084336669 |
Business Fax Number: | |
Mailing Address: | 1 Jarrett White Rd, Tripler Army Medical Center TAMC |
State: | HI |
Postal Code: | 968595001 |
Phone Number: | 8084336669 |
Fax Number: | |
NPI Enumeration Date: | 05/30/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MDR 4858 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |