Individual
DR. THOMAS GERARD WERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2503 W MAIN PL, RUSSELLVILLE, AR 72801-4645
(479) 968-1311
(479) 968-2704
Mailing address
2503 W MAIN PL, RUSSELLVILLE, AR 72801-4645
(479) 968-1311
(479) 968-2704
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
81
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143528748
—
AR
Enumeration date
06/23/2006
Last updated
11/25/2008
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