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NPI Code Detail

MEDICARE: MR. STEVEN DEAN THOMSON MD

MEDICARE: MR. STEVEN DEAN THOMSON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician35049855OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003990177
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. STEVEN DEAN THOMSON MD
Provider Business Mailing Address
First Line : 30 E BROAD ST
Second Line : 11TH FLOOR
City : COLUMBUS
State : OH
Zip : 43215
Country : US
Telephone Number : 614-466-9930
Fax Number : 614-644-9116
Provider Business Practice Location Address
First Line : 3000 ERIE ST S
Second Line :
City : MASSILLON
State : OH
Zip : 44646-7976
Country : US
Telephone Number : 330-833-3135
Fax Number : 330-833-7327
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2006
Last Update Date : 07/08/2007

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