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Individual

MR. THOMAS WILLIAM HOMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
20 POWER DR STE 5, COUNCIL BLUFFS, IA 51501-7701
(712) 309-3023
Mailing address
1610 WATSON ST, FREMONT, NE 68025-2093
(402) 721-0773
(402) 727-6047

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
107710
IA
363A00000X
Physician Assistant
Primary
756
NE

Other

Enumeration date
10/04/2006
Last updated
11/21/2024
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