| Mr Kodie Thomas, | |
|
2086 Picket Ln, Emmett, ID 83617-9104 | |
| (208) 369-1276 | |
| Not Available |
| Full Name | Mr Kodie Thomas |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2086 Picket Ln, Emmett, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003376559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 9134 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kodie Thomas, 2086 Picket Ln, Emmett, ID 83617-9104 Ph: () - | Mr Kodie Thomas, 2086 Picket Ln, Emmett, ID 83617-9104 Ph: (208) 369-1276 |
Mrs. Holly Suzanne Peterson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2001 E Quail Run Rd, Emmett, ID 83617 Phone: 208-365-7131 | |
Megan Martinson, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 207 E 12th St, Emmett, ID 83617 Phone: 208-365-1065 Fax: 208-365-1068 | |
Ms. Desiree Darlene Reid, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1102 E Locust St, Emmett, ID 83617 Phone: 208-365-6004 | |
Mr. David M. Shuey Ii, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1102 E Locust St, Emmett, ID 83617 Phone: 208-365-6004 Fax: 208-365-3589 |