Individual
MR. THOMAS J EADS
Active
Individual
MR. THOMAS J EADS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01047160
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000212068
ANTHEM
IN
01
—
7115094
AETNA
IN
01
—
8065087002
CIGNA
—
Enumeration date
09/06/2006
Last updated
07/24/2007
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