Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BENNY EARL THOMAS, D.O.
Active Sole ProprietorMR. BENNY EARL THOMAS, D.O. is a Vascular Surgery healthcare provider located in WAYNESVILLE, Missouri. NPI 1316960115 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · WAYNESVILLE, MO
Registration Details
- NPI Number
- 1316960115
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 25, 2006 (20.066612534056 yrs)
- Last Updated
- Mar 14, 2018
- Licenses
-
34548 (MO)34548 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
215 NORTH STWAYNESVILLE, MO, 65583Browse MO providers · Browse ZIP 65583
- Phone
- 5737746279
- Fax
- 5737745626
- Primary Specialty
-
Vascular Surgery
208VP0000X
- Additional Specialty
- Vascular Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.