Individual
DR. MATTHEW ROY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 N 9TH ST, BISMARCK, ND 58501-4507
(701) 530-6000
(701) 530-6430
Mailing address
401 N 9TH ST, BISMARCK, ND 58501-4507
(701) 530-6000
(701) 530-6430
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
5240
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15036
—
ND
01
—
83000159
MEDICARE RAILROAD
ND
Enumeration date
06/01/2006
Last updated
10/23/2008
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