Individual
DR. ROY VARGHESE THOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ONE CLINIC DRIVE, CLAYPOOL HILL, RICHLANDS, VA 24641-1100
(276) 964-6771
(276) 964-1206
Mailing address
PO BOX CVPI, RICHLANDS, VA 24641
(276) 964-6771
(276) 964-1206
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101048293
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110075-000
—
WV
01
—
036643
ANTHEM BCBS
—
05
—
64008899
—
KY
05
—
6710131
—
VA
Enumeration date
11/03/2005
Last updated
03/10/2010
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