Search › Idaho › 207N00000X
Richard Thomas, D.O
NPI 1265795660 · on the registry since 2012 · sole proprietor
Practice
- Address
- 4664 N Penngrove Way Ste 100
Meridian, ID 83646 - Phone
- (208) 898-7467
- Fax
- (208) 398-2120
- Organisation at this address
- Mountain Pine Dermatology, Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 207N00000X
207N00000X
- Also registered as
- 207N00000X
207ND0101X
208D00000X - Licence states on file
- OR, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-10-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho