Individual
ROBERT THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
407 N 4TH ST, BURLINGTON, IA 52601-5229
(319) 754-4618
(319) 754-4193
Mailing address
301 W BURLINGTON AVE, FAIRFIELD, IA 52556-3242
(641) 472-1684
(641) 472-4609
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00311
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
249072
MIDLANDS CHOICE
IA
01
—
39583
WELLMARK
IA
01
—
P00283406
RAILROAD MEDICARE
IA
Enumeration date
08/08/2006
Last updated
07/08/2007
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