Individual
DAVID THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1600 E BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-3221
(573) 815-6343
Mailing address
9464 ERIKA LN, NEW BLOOMFIELD, MO 65063-1942
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2017043161
MO
Other
Enumeration date
06/25/2008
Last updated
01/08/2025
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