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Individual

SHAWN WAYNE THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
0S013305
PA
208800000X
Urology Physician
2603
WV
208800000X
Urology Physician
Primary
OS10348
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000282900
FL
05
3810024050
WV
Enumeration date
06/22/2007
Last updated
09/03/2025
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