Dr. Keith Jay Thomas, M.D.
Surgery in John Day, OR. Individual provider (NPI-1).
NPI number1184792509
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1184792509
- Entity type
- Individual (NPI-1)
- Name
- Dr. Keith Jay Thomas
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 1, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | MD26271 | OR | Yes |
| 208600000X | Surgery | C51666 | CA |
Practice location
170 Ford RdJohn Day, OR 97845-2009
Phone 541-575-1311
Mailing address
Po Box 5John Day, OR 97845-0005
Phone 541-575-0499
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