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Individual

DR. THOMAS E MAIS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
823 SW MULVANE ST, SUITE 1, TOPEKA, KS 66606-1679
(785) 234-3451
(785) 234-2550
Mailing address
823 SW MULVANE ST, SUITE 1, TOPEKA, KS 66606-1679
(785) 234-3451
(785) 234-2550

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
04-15362
KS
2085R0202X
Diagnostic Radiology Physician
R7026
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
103332
BC/BS PREMIER BLUE
KS
Enumeration date
06/25/2006
Last updated
07/08/2007
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