Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 1003481656 | OK |
NPI | 1003481656 |
---|---|
Provider Name | Dr. Rob Thinnes |
First Address | Oklahoma City, OK 73102-1840 |
Second Address | Oklahoma City, OK 73104-3609 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2021 |
Last Update Date | 26/05/2021 |