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NPI Code Detail

MEDICARE: MARK DREW THOMAS M.D.

MEDICARE:   MARK DREW THOMAS  M.D.
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
1208800000XUrology PhysicianG3848TX
2208800000XUrology Physician35132150OH
3208800000XUrology Physician34647WV
4208800000XUrology Physician2025006931MO
5208800000XUrology Physician96-387NM

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1340012399OTHERNMRAILROAD MEDICARE

General Provider Information

NPI Number : 1306877667
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK DREW THOMAS M.D.
Provider Business Mailing Address
First Line : 1448 10TH AVE STE 304
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-3579
Country : US
Telephone Number : 304-691-6381
Fax Number : 304-691-8591
Provider Business Practice Location Address
First Line : 1115 20TH STREET
Second Line : SUITE 101
City : HUNTINGTON
State : WV
Zip : 25703-2071
Country : US
Telephone Number : 304-399-4121
Fax Number : 304-399-4126
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2006
Last Update Date : 09/05/2025

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Directions to “ MARK DREW THOMAS M.D.” Practice Location

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