IndividualActive
Richard Thomas, D.O.
NPI 1265795660 · Dermatology Physician · Meridian, ID
Provider details
- NPI number
- 1265795660
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- License
- DO163719 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
4664 N Penngrove Way Ste 100
Meridian, ID 83646-7442
Phone: (208) 898-7467
Fax: (208) 398-2120
Approximate (ZIP-level) locationGet directions
Mailing address
4664 N Penngrove Way Ste 100
Meridian, ID 83646-7442
Registry dates
- Enumerated
- 2012-06-20
- Last updated
- 2020-10-01
- Certified
- 2020-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.