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NPI Code Detail

MEDICARE: THOMAS C ASHBY M.D.

MEDICARE: THOMAS C ASHBY M.D.
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
1207L00000XAnesthesiology PhysicianM7470ID

General Provider Information

NPI Number : 1962421800
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS C ASHBY M.D.
Provider Business Mailing Address
First Line : 1646 ELDRIDGE AVE
Second Line :
City : TWIN FALLS
State : ID
Zip : 83301-7817
Country : US
Telephone Number : 208-734-7362
Fax Number : 208-733-9463
Provider Business Practice Location Address
First Line : 1646 ELDRIDGE AVE
Second Line :
City : TWIN FALLS
State : ID
Zip : 83301-7817
Country : US
Telephone Number : 208-734-7362
Fax Number : 208-733-9463
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 07/08/2007

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Directions to “ THOMAS C ASHBY M.D.” Practice Location

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