| NPI | 1780846139 |
|---|---|
| Doing Business As | GARY J. THOMAS, DPM |
| Entity Type | Organization |
| Authorized Contact | GARY JOHN THOMAS Provider/Owner 219-923-1254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X (Licence: IN 07000534A) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2008-06-26 |