Provider Demographics
NPI:1649378837
Name:THOMAS, DIANNA J (MD)
Entity Type:Individual
Prefix:
First Name:DIANNA
Middle Name:J
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2385 E PRATER WAY
Mailing Address - Street 2:SUITE 308
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89434-9629
Mailing Address - Country:US
Mailing Address - Phone:775-356-3553
Mailing Address - Fax:775-356-6939
Practice Address - Street 1:2385 E PRATER WAY
Practice Address - Street 2:SUITE 308
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89434-9629
Practice Address - Country:US
Practice Address - Phone:775-356-3553
Practice Address - Fax:775-356-6939
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV7097208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics