Most Relevant Information
Provider Data
| NPI Number: | 1003812074 |
| Provider Name: | CHARLES ALAN THOMAS M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 2084P0800X |
| Specialty: | Psychiatry & Neurology |
| License Number: | 19091 |
Most Important Dates
| Enumeration Date: | 06/24/2005 |
| Last Updated: | 01/06/2012 |
Provider Practice Location
1300 E BRADFORD PKWY
SPRINGFIELD
MO
658044264
Practice Location Phone/Fax
| Phone: | 4177615000 |
| Fax: | 4177615011 |
Provider Mailing Location
1300 E BRADFORD PKWY
SPRINGFIELD
MO
658044264
Provider Mailing Phone/Fax
| Phone: | 4177615000 |
| Fax: | 4177615011 |
Suggested EMR
Psychiatry EMR