Individual
DAMON J THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
102 CORTNEY LN, CRANE, MO 65633-9192
(417) 269-2264
(417) 269-2270
Mailing address
PO BOX 505673, SAINT LOUIS, MO 63150-5673
(417) 730-6430
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
113023
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205040108
—
MO
Enumeration date
09/29/2006
Last updated
07/11/2024
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