Individual
MARK DREW THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1115 20TH STREET, SUITE 101, HUNTINGTON, WV 25703-2071
(304) 399-4121
(304) 399-4126
Mailing address
1448 10TH AVE STE 304, HUNTINGTON, WV 25701-3579
(304) 691-6381
(304) 691-8591
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
2025006931
MO
208800000X
Urology Physician
Primary
34647
WV
208800000X
Urology Physician
35132150
OH
208800000X
Urology Physician
96-387
NM
208800000X
Urology Physician
G3848
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
340012399
RAILROAD MEDICARE
NM
Enumeration date
07/05/2006
Last updated
09/05/2025
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