Organization
TERRY L. THOMAS, DO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY L THOMAS DO (OWNER)
(304) 422-0172
Entity
Organization
Contact information
Practice address
2900 EMERSON AVE, PARKERSBURG, WV 26104-2519
(304) 422-0172
(304) 422-0174
Mailing address
2900 EMERSON AVE, PARKERSBURG, WV 26104-2519
(304) 422-0172
(304) 422-0174
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1747
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810012732
—
WV
Enumeration date
06/02/2008
Last updated
01/15/2009
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