Individual
STANLEY V THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11015517A
IN
207RP1001X
Pulmonary Disease Physician
Primary
1298
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201099280
—
IN
Enumeration date
04/09/2010
Last updated
07/10/2019
Update your record
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