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Individual

JAMES EDWARD THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1000 HWY 35 N., SUITE 5, BENTON, AR 72019-2351
(501) 315-1117
(501) 315-2408
Mailing address
1000 HWY 35 N., SUITE 5, BENTON, AR 72019-2351
(501) 315-1117
(501) 315-2408

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
E2010
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
124224001
AR
01
130021238
RAILROAD MEDICARE
01
18328000000
QUALCHOICE
01
5L029G428
PTAN
01
7115035
AETNA
AR
Enumeration date
01/09/2007
Last updated
05/19/2011
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