Individual
DR. ROBERT SEAN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2710 S RIFE MEDICAL LN FL 5, ROGERS, AR 72758-1452
(405) 748-4726
(405) 607-8497
Mailing address
4140 W MEMORIAL RD STE 321, OKLAHOMA CITY, OK 73120-8300
(405) 748-4726
(405) 607-8497
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4166
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200034140A
—
OK
01
—
200468380X
GROUP MEDICAID
OK
05
—
207300609
—
MO
01
—
900522214
GROUP MEDICARE
OK
Enumeration date
01/04/2006
Last updated
03/15/2023
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