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Individual
STEPHEN M THOMAS
Active
Individual
STEPHEN M THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS010140L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0797606000
KEYSTONE IBC
PA
05
—
1023419790001
—
PA
01
—
113518
HIGHMARK BLUE SHIELD
PA
01
—
30068291
KEYSTONE FIRST
PA
01
—
7278167
AETNA
PA
Enumeration date
06/30/2006
Last updated
01/17/2014
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