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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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