Provider Demographics
NPI:1356375992
Name:THOMAS, RUTH M (PA-C)
Entity type:Individual
Prefix:MS
First Name:RUTH
Middle Name:M
Last Name:THOMAS
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:PO BOX 727
Mailing Address - Street 2:
Mailing Address - City:ROSEBUD
Mailing Address - State:SD
Mailing Address - Zip Code:57570-0727
Mailing Address - Country:US
Mailing Address - Phone:605-747-2231
Mailing Address - Fax:605-747-2216
Practice Address - Street 1:SOLDIER CREEK ROAD,BOX 400
Practice Address - Street 2:ROSEBUD INDIAN HEALTH SERVICE HOSPITAL
Practice Address - City:ROSEBUD
Practice Address - State:SD
Practice Address - Zip Code:57570-0400
Practice Address - Country:US
Practice Address - Phone:605-747-2231
Practice Address - Fax:605-747-2216
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
1014617363AM0700X
TNPA0000000054363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical