Mark B Thomas is a Internist in Cottage Grove, Oregon. Mark B Thomas practices all healthcare services and medical treatments related to Internist. The NPI Number for Mark B Thomas is 1043362601. The last update date is 2007-07-08.
Mark B Thomas's current location address is 500 E Whiteaker Ave, Cottage Grove, Oregon. You can contact this provider via phone number 5419425024 and fax number 5419420598. The mailing address for Mark B Thomas is 500 E Whiteaker Ave, Cottage Grove, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark B Thomas |
|---|---|
| Address | 500 E Whiteaker Ave, Cottage Grove, Oregon |
| Phone Number | 5419425024 |
| Fax Number | 5419420598 |
| Sole Proprietor | N |
| Credentials | D.C., D.A. |
NPI Number Detail
| NPI Number | 1043362601 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 500 E Whiteaker Ave |
|---|---|
| City | Cottage Grove |
| State | Oregon (OR) |
| Post Code | 974241648 |
| Phone Number | 5419425024 |
| Fax Number | 5419420598 |
Provider's Primary Taxonomy Detail
| Speciality | Internist |
|---|---|
| Taxonomy | 111Ni0900X |
| Licence No | 271279 |
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Definition: The chiropractic internist may serve as a primary care physician or may see patients referred from other providers for evaluation and co-management. Evaluation is focused on the early detection of functional, nutritional, and pathological disorders. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 67246002 | OR | BLUE CROSS | |
| 67246000 | OR | BLUE CROSS | |
| 231779 | OR | -- |
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What is the unique identifier code issued to Mark B Thomas by the Centers for Medicare & Medicaid Services?
The Mark B Thomas has been assigned the NPI (National Provider Identifier) 1043362601. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mark B Thomas?
The Mark B Thomas is physically situated at 500 E Whiteaker Ave, in the city of Cottage Grove, state of OR, with the postal code 974241648.
What is the Mark B Thomas's specialty and taxonomy code?
The Mark B Thomas's specialty is Internist, and the corresponding taxonomy code is 111Ni0900X.
On what date was the 1043362601 assigned to Mark B Thomas?
The Mark B Thomas was issued its 1043362601 on 2007-01-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Mark B Thomas most recently updated or refreshed?
The details pertaining to the Mark B Thomas, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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