Individual
CHRISTINA MICHELLE THOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6261 RONALD REAGAN DR STE B19, LAKE ST LOUIS, MO 63367-2665
(636) 561-3021
Mailing address
6261 RONALD REAGAN DR STE B19, LAKE ST LOUIS, MO 63367-2665
(636) 561-3021
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2023012823
MO
207Q00000X
Family Medicine Physician
81970
GA
Other
Enumeration date
06/18/2017
Last updated
08/01/2023
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