Organization
THOMAS C. THOMAS
Active
Other names
Harbor View Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON E. COX CAPPM (PRACTICE ADMINISTRATOR)
(816) 781-6127
Entity
Organization
Contact information
Practice address
110 WESTWOODS DR, LIBERTY, MO 64068-1181
(816) 781-6127
(816) 792-2265
Mailing address
110 WESTWOODS DR, LIBERTY, MO 64068-1181
(816) 781-6127
(816) 792-2265
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28478
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790787059
NPI
MO
05
—
205285901
—
MO
01
—
27479018
BCBS
MO
Enumeration date
09/06/2007
Last updated
10/07/2010
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