# MARK WILSON THOMAS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1881954634
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 02004574A | IN | — |
| 207L00000X | Anesthesiology Physician | 12106328-1204 | UT | Yes |
| 207L00000X | Anesthesiology Physician | DO222639 | OR | — |
| 207L00000X | Anesthesiology Physician | MED-PHYS-LIC-47547 | MT | — |

## Other

- **Enumeration date:** 05/25/2012
- **Last updated:** 01/16/2025