Individual
JOANNA M THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1125 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1908
(479) 521-8260
(479) 443-3903
Mailing address
1125 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1908
(479) 521-8260
(479) 443-3903
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C-8210
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120667
UNITED HEALTH CARE
AR
05
—
122511001
—
AR
01
—
13801000000
QUAL CHOICE
AR
01
—
237403
HEALTH LINK
AR
01
—
5048
CIGNA
AR
01
—
5613515
AETNA
AR
01
—
56381
BCBS
AR
01
—
80118144
RR MCR
AR
01
—
903629
FIRST HEALTH
AR
Enumeration date
03/17/2006
Last updated
01/28/2010
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