Individual
DR. STEPHEN RAY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3202 MCINTOSH CIR, STE 302, JOPLIN, MO 64804-3646
(417) 347-8525
(417) 347-8536
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-8525
(417) 347-8536
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
115357
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200079880A
MEDICAID
OK
05
—
200377200B
—
KS
05
—
243419306
—
MO
Enumeration date
08/01/2006
Last updated
04/23/2013
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