Individual
DR. THOMAS J. FOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1225 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6023
(573) 556-7725
(573) 761-3596
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 556-7725
(573) 761-3596
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
113269
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080114883
RAILROAD MEDICARE
MO
01
—
113509
BCBS
MO
05
—
209660208
—
MO
01
—
332948
HEALTHLINK
MO
01
—
CD6060
RAILROAD GROUP
MO
Enumeration date
01/18/2006
Last updated
09/13/2010
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