Individual
DR. KORY P. THOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3230 BLATTNER DR., CAPE GIRARDEAU, MO 63703-6380
(573) 334-2020
(573) 334-2915
Mailing address
3230 BLATTNER DR., CAPE GIRARDEAU, MO 63703-6380
(573) 334-2020
(573) 334-2915
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2002015338
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
315975235
—
MO
Enumeration date
11/21/2006
Last updated
10/12/2010
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