Individual
MARK A. THOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
551 W CENTRAL AVE, SUITE 303, DELAWARE, OH 43015-1493
(740) 615-0300
(740) 615-0301
Mailing address
L-3401, COLUMBUS, OH 43260-3401
(740) 615-1324
(740) 615-1344
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.091505
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2962049
—
OH
Enumeration date
06/21/2008
Last updated
01/05/2022
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