Individual
THOMAS J BLOXHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9300 E 29TH ST N, WICHITA, KS 67226-2182
(316) 928-8730
(316) 928-8735
Mailing address
PO BOX 8903, WICHITA, KS 67208-0903
(316) 685-1337
(316) 685-9388
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18565
KS
207RP1001X
Pulmonary Disease Physician
18565
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100082700A
—
KS
Enumeration date
06/30/2006
Last updated
07/18/2014
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