Individual provider · Type 1 NPI
Crystal Diana Thomas, PA
Medical Physician Assistant · St. Petersburg, FL
NPI number
1265824817
Active
Practice location
1839 Central Ave
St. Petersburg, FL 33713-8900
Fax (727) 322-2725
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 9108444 (FL) |
Medical Physician Assistant: Definition to come...
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About NPI 1265824817
Crystal Diana Thomas, PA's National Provider Identifier is 1265824817, issued on Feb 19, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in St. Petersburg, FL. The record was last updated on Aug 7, 2015.