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Contact Information

CLINTON M THOME, MD
1686 W RIVERSTONE DR STE 1
COEUR D'ALENE, ID83814-5779
 Phone: 208-765-4807
 Fax: 866-573-0853
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for CLINTON M THOME · (Male)

NPI Number 1558654756
Status Active
Credentials MD
Entity Individual
Enumeration date 05/20/2011
Last updated 05/23/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • ID License # M13168
Hospital affiliation(s)
  • KOOTENAI MEDICAL CENTER - (Acute Care)
    2003 KOOTENAI HEALTH WAY
    COEUR D'ALENE, ID 83814
  • NORTHWEST SPECIALTY HOSPITAL - (Acute Care)
    1593 EAST POLSTON AVENUE
    POST FALLS, ID 83854
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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