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Individual

BEN HARLEY THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
75 SYLVANIA DR, BEAVERCREEK, OH 45440-3237
(937) 320-5050
(937) 320-5060
Mailing address
ONE GI CREDENTIALING DEPARTMENT, PO BOX 381468, GERMANTOWN, TN 38183-3237

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
34011164
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0106017
OH
Enumeration date
02/02/2009
Last updated
02/09/2026
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