Doctor Name: | GREGORY LLOYD THOMAS |
NPI Number: | 1750418521 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 43100 |
Business Practice Address: | 271 S Santa Fe Ave # 285 Vista, CA - 920835854 |
Business Phone Number: | 7609454700 |
Business Fax Number: | 7609450382 |
Mailing Address: | 271 S Santa Fe Ave # 285, VISTA |
State: | CA |
Postal Code: | 920835854 |
Phone Number: | 7609454700 |
Fax Number: | 7609450382 |
NPI Enumeration Date: | 02/27/2007 |
NPI Last Update Date: | 03/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 43100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |