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Individual
DR. BRADLEY THOMPSON
Active
Individual
DR. BRADLEY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
807
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1C350044428
RAILROAD MEDICARE
MS
01
—
3045182
BLUE CROSS BLUE SHIELD
TN
Enumeration date
01/24/2008
Last updated
01/24/2008
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