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Individual

DR. JEFF C.C. THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2201 W SUDBURY DR, SUITE C, BLOOMINGTON, IN 47403-3812
(812) 333-1933
(812) 333-3991
Mailing address
2201 W SUDBURY DR, SUITE C, BLOOMINGTON, IN 47403-3812
(812) 333-1933
(812) 333-3991

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01048577A
IN
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
01048577A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200184760
IN
Enumeration date
06/27/2006
Last updated
03/02/2011
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