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Individual
DR. VINCENT J THOMPSON III
Active
Individual
DR. VINCENT J THOMPSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD426812
PA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
XT4563777
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223613YHRN
MEDICARE PTAN
—
Enumeration date
05/23/2005
Last updated
10/29/2018
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