Provider Demographics
NPI:1700838356
Name:THOMAS, CHRISTOPHER DANIEL (DO)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:DANIEL
Last Name:THOMAS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:5879 WESTRIDGE CIR NW
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-5588
Mailing Address - Country:US
Mailing Address - Phone:330-497-8394
Mailing Address - Fax:330-497-8394
Practice Address - Street 1:2600 SIXTH ST SW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44710-1702
Practice Address - Country:US
Practice Address - Phone:330-363-4951
Practice Address - Fax:330-363-7679
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2009-02-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO43563207L00000X
OH009432207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology