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Individual
STEPHANIE W THOMAS
Active
Individual
STEPHANIE W THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35047102
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000131905
ATHEM
—
01
—
0545221
ADMINASTAR
—
05
—
0546556
—
OH
01
—
142736
EYEMED
—
01
—
180026636
MEDICARE RR
—
Enumeration date
11/02/2006
Last updated
07/27/2010
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