Individual
DR. MATTHEW ROBERT THOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 UNIVERSITY BLVD E, SUITE 908, TUSCALOOSA, AL 35401-2086
(205) 344-9393
(205) 759-7744
Mailing address
701 UNIVERSITY BLVD E, SUITE 908, TUSCALOOSA, AL 35401-2086
(205) 344-9393
(205) 759-7744
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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