Provider Demographics
NPI:1295014512
Name:THOMAS, CHAD RYAN (CSFA)
Entity Type:Individual
Prefix:
First Name:CHAD
Middle Name:RYAN
Last Name:THOMAS
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Gender:M
Credentials:CSFA
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Mailing Address - Street 1:3317 S HIGLEY RD
Mailing Address - Street 2:#114-257
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-5436
Mailing Address - Country:US
Mailing Address - Phone:480-734-0536
Mailing Address - Fax:480-539-4773
Practice Address - Street 1:3317 S HIGLEY RD
Practice Address - Street 2:#114-257
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85297-5436
Practice Address - Country:US
Practice Address - Phone:480-734-0536
Practice Address - Fax:480-539-4773
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-04
Last Update Date:2023-06-29
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist