Individual
THOMAS W HUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 REID PKWY, RICHMOND, IN 47374-1157
(765) 983-3202
(765) 983-3219
Mailing address
1100 REID PKWY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374-1157
(765) 983-3202
(765) 983-3219
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01040082
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000108967
BLUESHIELDREID HOSP-EKG
IN
01
—
000000735703
ANTHEM (REID PHYSICIAN ASSOCIATES)
—
05
—
0080783
—
OH
05
—
100257160
—
IN
Enumeration date
12/27/2005
Last updated
05/14/2021
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