Individual
RICHARD D THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 COLLEGE PKWY, SUITE 180, WILLIAMSVILLE, NY 14221-6800
(716) 636-1902
Mailing address
100 COLLEGE PKWY, SUITE 180, WILLIAMSVILLE, NY 14221-6800
(716) 636-1902
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
204842
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025517604
UNIVERA
—
01
—
000524751011
BLUE SHIELD OF WESTERN NY
—
01
—
1609386
INDEPENDENT HEALTH
—
01
—
2048429CR
WORKERS COMPENSATION
NY
Enumeration date
12/02/2005
Last updated
05/22/2008
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