Organization
MARTHA THOMAS MD PA
Active
Other names
The Center for Pediatric Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTHA THOMAS MD (PRESIDENT/OWNER)
(501) 268-5437
Entity
Organization
Contact information
Practice address
403 S POPLAR ST, SUITE F, SEARCY, AR 72143-6017
(501) 268-5437
(501) 268-2057
Mailing address
214 GREEN BAY RD, THIENSVILLE, WI 53092-1616
(414) 247-9005
(414) 247-9004
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MC2771
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MC2771
MEDICAL CORPORATION CERTIFICATE
AR
Enumeration date
06/28/2010
Last updated
11/04/2010
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