BENNY EARL THOMAS

WAYNESVILLE, MO
NPI1316960115
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208VP0000X 
(Licence: MO  34548)
Additional Taxonomies207Q00000X Family Medicine
(Licence: MO  34548)
Enumeration Date2006-07-25
Last Update Date2018-03-14
Business Address
Mr. BENNY EARL THOMAS D.O.
215 NORTH ST
WAYNESVILLE, MO 65583
Phone number: 573-774-6279
Mailing Address
Mr. BENNY EARL THOMAS D.O.
PO BOX 4503 215 NORTH ST.
WAYNESVILLE, MO 65583
Phone number: 573-774-6279