Individual
ELLEN H THOMAS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD.
Contact information
Practice address
401 KEENE ST, COLUMBIA, MO 65201-6625
(573) 876-1620
(573) 876-1663
Mailing address
401 KEENE ST, COLUMBIA, MO 65201-6625
(573) 876-1620
(573) 876-1663
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
114469
MO
Other
Enumeration date
05/05/2006
Last updated
11/05/2021
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