Individual
DR. RUPERT ROCKWELL THOMAS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1616 S KELLY AVE, EDMOND, OK 73013-3651
(405) 736-0089
(405) 216-3454
Mailing address
PO BOX 960551, OKLAHOMA CITY, OK 73196-2006
(405) 418-4800
(405) 418-4820
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
12932
OK
261QP2300X
Primary Care Clinic/Center
12932
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100005830A
—
OK
Enumeration date
02/24/2006
Last updated
09/16/2021
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