Individual
DR. MATTHEW ROBERT THOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
30929
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102I346537
MEDICARE
AL
05
—
129502
—
AL
Enumeration date
07/10/2006
Last updated
09/22/2011
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