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Individual
DR. MARK B THOMAS
Active
Individual
DR. MARK B THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C., D.A.B.C.I.
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
271279
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067246000
BLUE CROSS
OR
01
—
067246002
BLUE CROSS
OR
05
—
231779
—
OR
Enumeration date
01/16/2007
Last updated
07/08/2007
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