Individual
ROBERT S THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M5287
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003972600
—
ID
01
—
1133570
CIGNA MEDICARE - RANI
ID
01
—
300093018
RR MEDICARE - NIIC
ID
05
—
8100224
—
WA
01
—
B1246
BC ID - PF
ID
01
—
DZ502
BC ID - CDA
ID
01
—
P00104438
RR MEDICARE - RANI
—
Enumeration date
08/12/2005
Last updated
02/24/2012
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