MISS Dallas Michelle Thomason, PA-C
NPI #1225361702 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1225361702
- Entity Type
- Individual
- Name
- MISS Dallas Michelle Thomason, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Sep 15, 2009
- Last Updated
- Mar 25, 2014
Practice Location
- Address
- 1907 MISSION 66
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39180-3711
- Phone
- (601) 636-1173
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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