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Organization
GAUTHAMA THOMPSON, RIVER VALLEY CHIROPRACTIC, P.A.
Active
Organization
GAUTHAMA THOMPSON, RIVER VALLEY CHIROPRACTIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAUTHAMA THOMPSON DC (PRESIDENT)
(207) 364-7931
Entity
Organization
Contact information
Practice address
344 HANCOCK ST, SUITE 1, RUMFORD, ME 04276-1937
(207) 364-7931
(207) 364-3644
Mailing address
344 HANCOCK ST, SUITE 1, RUMFORD, ME 04276-1937
(207) 364-7931
(207) 364-3644
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR1066
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024970
ANTHEM BCBS
ME
01
—
1042297
AETNA
ME
05
—
328880099
—
ME
01
—
M23278
CIGNA
ME
Enumeration date
05/15/2007
Last updated
10/09/2008
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