Individual
WESLEY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1511 HIGHWAY 25B, HEBER SPRINGS, AR 72543-1701
(501) 362-9426
(501) 362-9456
Mailing address
623 N 9TH ST, AUGUSTA, AR 72006-2129
(870) 347-2534
(870) 347-3492
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-2365
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139081001
—
AR
Enumeration date
04/26/2006
Last updated
01/19/2012
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