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Dr. Giddel G A Thom, MD
Pediatric Hematology & Oncology Physician in Portales, New Mexico
NPI 1700078375

Giddel G A Thom is a Pediatric Hematology & Oncology Physician based in Portales, NM and is specialized in Pediatric Hematology-Oncology. Giddel G A Thom practices in Portales, NM and has the professional credentials of MD. The NPI Number for Giddel G A Thom is 1700078375 and holds a License No. ME978766 (New Mexico).

The current practice location address for Giddel G A Thom is 1515 W Fir St, Portales, NM and can be reached out via phone at 575-356-6695 and via fax at 575-356-5948.

Location: 1515 W Fir St, Portales, NM, 88130-0843
person
Provider Profile Details
NPI Number
1700078375
Provider Name
Giddel G A Thom
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1515 W Fir St, Portales, NM, 88130-0843
Phone Number
575-356-6695
Fax Number
575-356-5948
Provider Enumeration Date
08/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
73252875 05 NM
ME98766 01 FL MEDICAL LICENCE
institution
Provider Business Practice Location Address Details
Address
1515 W Fir St
City
State
Zip
88130-5703
Phone Number
575-356-6695
Fax Number
575-356-5948
person
Provider Business Mailing Address Details
Address
1515 W Fir St
City
State
Zip
88130-5703
Phone Number
575-356-6695
Fax Number
575-356-5948
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Hematology-Oncology
Taxonomy
License No.
ME978766 (Florida)
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
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