Otis Victor Thomas JR. M.D.

NPI 1124275060 - General Practice - 208D00000X

NPI Details
NPI 1124275060
Gender Male
Enumeration Date 08/22/2008
Last Updated 08/22/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
SACRAMENTO CA, 95835-1501, US
Phone (831) 594-9569
Business Location
PO BOX 51681
PACIFIC GROVE CA, 93950-6681, US
Phone (831) 594-9569
Taxonomy Code 208D00000X
License State California
License Number C37206
Remove 1124275060 NPI Number

According to our database, Otis Victor Thomas JR. M.D. NPI is 1124275060, taxonomy code is 208D00000X and license number is C37206, license state is located at California. Otis Victor Thomas JR. M.D. physically located at 2501 Mabry Dr, Sacramento CA, 95835-1501. NPI Number Otis Victor Thomas JR. M.D. has the Individual type.

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1124275060 NPI number is provided on an as is basis without warranty of any kind. 1124275060 is maintained by the National Plan & Provider Enumeration System. The contents of Otis Victor Thomas JR. M.D. are for informational purposes only.