MR. Kodie Thomas

NPI #1003376559 in Emmett, Idaho

Provider Information

NPI Number: 1003376559
Entity Type: Individual
Name: MR. Kodie Thomas
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Mar 21, 2019
Last Updated: Dec 2, 2022

Practice Location

Address: 2086 PICKET LN
City: Emmett
State: Idaho
ZIP Code: 83617-9104
Phone: (208) 369-1276

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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