SearchIdaho363A00000X

Ashley Thomas, PA-C

NPI 1740590314 · on the registry since 2010 · sole proprietor

Practice

Address
710 E. Alice Street
Blackfoot, ID 83221
Phone
(208) 785-1200

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-10-18

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