MR. Tristan J Thomas, IDC

NPI #1881997815 in Groton, Connecticut

Provider Information

NPI Number
1881997815
Entity Type
Individual
Name
MR. Tristan J Thomas, IDC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Military Health Care Provider - Independent Duty Corpsman
Credential
IDC
Enumeration Date
Dec 14, 2010
Last Updated
Dec 14, 2010

Practice Location

Address
116 DRIFTWOOD CIR
City
Groton
ZIP Code
06340-3155
Phone
(850) 637-7482

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty CorpsmanIndependent Duty Corpsman

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