Individual
RICHARD D THOMAS
Active
Individual
RICHARD D THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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