Medicom, INC

NPI #1336171032 in Waynesville, Missouri

Provider Information

NPI Number: 1336171032
Entity Type: Organization
Organization Name: Medicom, INC
Primary Specialty: Family Medicine
Enumeration Date: Jul 6, 2006
Last Updated: Dec 18, 2008

Practice Location

Address: 215 NORTH ST
Address 2: SUITE B
City: Waynesville
State: Missouri
ZIP Code: 65583-2553
Phone: (573) 774-6279

Authorized Official

Name: DR. BENNY EARL THOMAS, DO
Title: OWNER/PHYSICIAL
Phone: (573) 774-6279

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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