Thomas, Gary A

Thomas, Gary A is an individual health care provider with primary practice located at 3344 N Futrall Dr , Fayetteville AR 72703-4057. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Thomas, Gary A can be contacted via phone (479) 582-8200.

Contact Information

Primary practice address
3344 N Futrall Dr Fayetteville AR 72703-4057
Phone: (479) 582-8200
Fax: (479) 582-7310
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X E-7339 Arkansas

Profile Details

NPI number 1831125731
LBN Legal business name Thomas, Gary A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Nov 2nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831125731 NPPES
Arkansas MEDICAID 115081001
Arkansas MEDICAID 100080010A
Arkansas Other P00196412
Arkansas Other 52242

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