Individual
DR. GAIL ELIZABETH THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
324 HICKORY BND, BELLEVILLE, IL 62223-3474
(618) 604-9926
Mailing address
324 HICKORY BND, BELLEVILLE, IL 62223-3474
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
G071045
CA
208600000X
Surgery Physician
Primary
G071045
CA
2086X0206X
Surgical Oncology Physician
256245
NY
2086X0206X
Surgical Oncology Physician
30439
SC
2086X0206X
Surgical Oncology Physician
G071045
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8157
MEDICARE PTAN
SC
Enumeration date
07/19/2007
Last updated
12/16/2014
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