Individual
DEREK C THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
100 NE SAINT LUKES BLVD, LEES SUMMIT, MO 64086-6000
(816) 347-5000
(816) 347-5045
Mailing address
PO BOX 412431, KANSAS CITY, MO 64141-2431
(913) 647-4100
(913) 647-4120
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
132492
MO
Other
Enumeration date
07/30/2010
Last updated
07/30/2010
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