Individual
DR. ROGER LYNN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
606 MULBERRY RD, DERBY, KS 67037-3532
(316) 788-3787
(316) 788-6930
Mailing address
606 MULBERRY RD, DERBY, KS 67037-3532
(316) 788-3787
(316) 788-6930
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0518534
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00099501
RAILROAD MEDICARE
KS
Enumeration date
02/20/2006
Last updated
07/19/2013
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