WARREN PHUC THAI MD PC
Osteopathic Medicine at Spring Ridge Dr, Susanville, CA

License number
California A108762
Category
Osteopathic Medicine
Type
Hospitalist
Owner
Name: LORI LABRECQUE
Title: ACCOUNTS MGR
Phone: (702) 453-3799
Address
Address 2
1800 Spring Ridge Dr, Susanville, CA 96130
PO Box 33658, Reno, NV 89533
National Provider ID: 1548564453
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about WARREN PHUC THAI MD PC at bizstanding.com

Warren Phuc Thai, MD, PC

Reno, NV

Industry:
Medical Doctor's Office
Registration:
Mar 2, 2010
Addresses:
PO Box 33658, Reno, NV 89533
6400 Sharlands Ave, Reno, NV 89523
State ID:
E0131302010-0
Business type:
Domestic Professional Corporation
Secretarys:
Warren Thai (President),Dinadelle B. Viola (Secretary)
Agent:
Warren Phuc Thai, Md, Pc C/O President

Warren Phuc Thai, MD, PC C/O President

PO Box 33658, Reno, NV 89533

Status:
Inactive
Warren Phuc Thai, Md, Pc inactive

Osteopathic Medicine licenses in California










Other Doctors licenses in California