KODIE THOMAS

EMMETT, ID
NPI1003376559
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: AZ  9134)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2019-03-21
Last Update Date2022-12-02
Business Address
Mr. KODIE THOMAS
2086 PICKET LN
EMMETT, ID 83617-9104
Phone number: 208-369-1276
Mailing Address
Mr. KODIE THOMAS
2086 PICKET LN
EMMETT, ID 83617-9104
Phone number:
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