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Individual

DANIEL R THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1100 N KENTUCKY AVE, WEST PLAINS, MO 65775-2029
(417) 257-6782
(417) 257-5916
Mailing address
PO BOX 1100, WEST PLAINS, MO 65775-1100
(417) 257-6782
(417) 257-5916

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
21568
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1780684720
MO
05
194781001
AR
05
209566504
MO
05
3810000067
WV
Enumeration date
07/29/2005
Last updated
01/30/2024
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