Individual
ROGER SHAWN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
81 MSGS/SGCXE, OPHTHALMOLOGY CLINIC, KEESLER AFB, MS 39540-2508
(228) 376-0452
Mailing address
81 MSGS/SGCXE, OPHTHALMOLOGY CLINIC, KEESLER AFB, MS 39540-2508
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01062643A
IN
Other
Enumeration date
10/10/2006
Last updated
07/12/2012
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