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JOSEPH LEE THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ANP

Contact information

Practice address
620 NORTH MAIN, HARRISON, AR 72601-2926
(870) 365-2000
(417) 337-9730
Mailing address
250 WILLOWBROOKE, BRANSON, MO 65616-7006
(417) 825-3744
(417) 337-9730

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
128445
MO
363L00000X
Nurse Practitioner
Primary
A003106
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
174866758
AR
05
424956415
MO
01
5R226
AR BLUE CROSS
AR
01
780002185
RAILROAD MEDICARE
Enumeration date
11/16/2006
Last updated
11/21/2024
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