Individual
DR. JEAN ALFRED THOMAS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6125 CLAYTON AVE, SUITE 122, ST LOUIS, MO 63139
(314) 644-4555
(314) 644-4255
Mailing address
1031 BELLEVUE AVE, SUITE 200, SAINT LOUIS, MO 63117-1818
(314) 644-4555
(314) 644-4255
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
R8402
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201437209
—
MO
Enumeration date
09/26/2006
Last updated
07/13/2010
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