Individual
MATTHEW W. THOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
707 S MONROE ST, ENID, OK 73701-7286
(580) 616-7630
(580) 237-7516
Mailing address
5300 N INDEPENDENCE AVE, 280, OKLAHOMA CITY, OK 73112-5556
(580) 616-7630
(580) 237-7516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1103
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100210100A
—
OK
01
—
P01318823
RAILROAD MEDICARE
OK
Enumeration date
10/05/2005
Last updated
02/12/2018
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