# CHAD CAMPBELL THOMPSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1538158217
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 45857 | CO | — |
| 207Q00000X | Family Medicine Physician | MD071958L | PA | Yes |

## Other

- **Enumeration date:** 10/17/2005
- **Last updated:** 09/27/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 618366 | — | AZ |
| 05 | — | 79281222 | — | CO |
| 05 | — | 96927861 | — | NM |
