Individual
DR. THOMAS E. MINNICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 WERNER ST, HOT SPRINGS, AR 71913-6406
(501) 622-1120
(501) 622-1199
Mailing address
PO BOX 29001, HOT SPRINGS, AR 71903-9001
(501) 622-1120
(501) 622-1199
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
N-8350
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123048001
—
AR
01
—
5J0186972
MEDICARE LINKED
AR
01
—
N-8350
MEDICAL LICENSE
AR
Enumeration date
09/22/2006
Last updated
03/07/2023
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