Individual
MR. MARVIN D THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MED
Contact information
Practice address
12212 BLUE SAGE RD, OKLAHOMA CITY, OK 73120-6008
(405) 361-2021
(405) 749-0742
Mailing address
12212 BLUE SAGE RD, OKLAHOMA CITY, OK 73120-6008
(405) 361-2021
(405) 749-0742
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/04/2010
Last updated
02/04/2010
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