Healthcare Provider Details

I. General information

NPI: 1891651675
Provider Name (Legal Business Name): GENETICS MEDICAL GROUP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/24/2025
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 MOUNTAIN SPRINGS RD
HELENA MT
59602-8433
US

IV. Provider business mailing address

7533 S CENTER VIEW CT STE R
WEST JORDAN UT
84084-5526
US

V. Phone/Fax

Practice location:
  • Phone: 888-351-7917
  • Fax:
Mailing address:
  • Phone: 908-625-7887
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ERIC D THOMAS
Title or Position: OWNER
Credential: MD
Phone: 908-625-7887