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Individual

DARIN DEVON THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
202 E THIRD, FERDINAND, IN 47532
(812) 367-1112
(812) 367-1907
Mailing address
PO BOX 128, 202 E THIRD, FERDINAND, IN 47532-0128
(812) 367-1112
(812) 367-1907

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01043031
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000091521
ANTHEM
IN
01
110130728
RAILROAD MEDICARE
IN
05
200002040A
IN
Enumeration date
09/26/2006
Last updated
10/25/2011
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