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Individual

DR. TYLER D THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1499 N ROBBERSON AVE # K500, SPRINGFIELD, MO 65802-1979
(417) 269-3813
(417) 269-3817
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-5712
(417) 269-7567

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
04-31361
KS
207Q00000X
Family Medicine Physician
04-31361
KS
207Q00000X
Family Medicine Physician
Primary
2000160557
MO

Other

Enumeration date
10/25/2006
Last updated
03/27/2020
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