Robert R Thomas in Anchorage - Physician Assistant

Robert R Thomas - NPI 1104805597

Robert R Thomas is a Physician Assistant in Anchorage, Alaska. Robert R Thomas practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Robert R Thomas is 1104805597. The last update date is 2012-02-22.

Robert R Thomas's current location address is 4015 Lake Otis Pkwy, Anchorage, Alaska. You can contact this provider via phone number 9077713500 and fax number 9077713550. The mailing address for Robert R Thomas is 4015 Lake Otis Pkwy, Anchorage, Alaska. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert R Thomas
Address 4015 Lake Otis Pkwy, Anchorage, Alaska
Phone Number 9077713500
Fax Number 9077713550
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1104805597
Provider Enumeration Date 2006-01-13
Last Updated Date 2012-02-22

Provider Mailing Address Detail

Address 4015 Lake Otis Pkwy
City Anchorage
State Alaska (AK)
Post Code 995085211
Phone Number 9077713500
Fax Number 9077713550

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 1586
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
205515193 FED TAX ID
MD34481 AK --

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FAQs about Robert R Thomas

Could you share the physical location details of Robert R Thomas?

The Robert R Thomas is situated at 4015 Lake Otis Pkwy, in the city of Anchorage, state of AK, with the zip code 995085211.

Could you please share the complete physical address where Robert R Thomas is geographically located?

The Robert R Thomas is physically situated at the following location: 4015 Lake Otis Pkwy, Anchorage, AK, 995085211.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1104805597 to Robert R Thomas?

The Centers for Medicare & Medicaid Services originally issued the 1104805597 to Robert R Thomas on 2006-01-13.

As of what date were the details pertaining to Robert R Thomas last refreshed?

The information related to the Robert R Thomas, including its address, specialty, and other relevant details, was last updated on 2012-02-22.

When was the information regarding Robert R Thomas, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Robert R Thomas, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-02-22.

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