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Organization
BLAKE THOMPSON MD INC.
Active
Organization
BLAKE THOMPSON MD INC.
Active
Other names
ROC Rehabilitation and Orthopedic Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAKE R THOMPSON MD (PRESIDENT)
(619) 284-6377
Entity
Organization
Contact information
Practice address
9040 FRIARS RD STE 400, SAN DIEGO, CA 92108-5862
(619) 284-6377
Mailing address
9040 FRIARS RD STE 400, SAN DIEGO, CA 92108-5862
(619) 284-6377
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
—
NULL
2251X0800X
Orthopedic Physical Therapist
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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