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Individual

PAUL STEPHEN THOMAS

Active
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Individual

PAUL STEPHEN THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13819
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0166707
UMWA
OK
01
731310891006
UNICARE
OK
01
731310891028
TRICARE SOUTH
OK
01
74502A016
CHAMPUS (WPS)
OK
Enumeration date
04/10/2006
Last updated
04/14/2008
Update your record

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