MEDICARE: DR. SUZANNE MICHELLE THOMAS NMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175F00000X	Naturopath	13-1367	AZ

General Provider Information

NPI Number	:	1225469836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUZANNE MICHELLE THOMAS NMD

Provider Business Mailing Address
First Line	:	5332 E BASELINE RD
Second Line	:	UNIT 2092
City	:	MESA
State	:	AZ
Zip	:	85206-4717
Country	:	US
Telephone Number	:	602-920-4329
Fax Number	:

Provider Business Practice Location Address
First Line	:	1726 E THOMAS RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-7604
Country	:	US
Telephone Number	:	602-222-9595
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2013
Last Update Date	:	12/10/2013

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