Individual
MARCIA J THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3371 KEMP RD, BEAVERCREEK, OH 45431-2514
(937) 458-4200
(937) 458-4209
Mailing address
1 PRESTIGE PL, STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1310
(937) 522-8068
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.040974
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0729251
—
OH
Enumeration date
09/20/2006
Last updated
11/17/2020
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