Individual
DR. SUSANNE PATRICIA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2526 W EDISON ST, TULSA, OK 74127
(918) 587-5100
(918) 587-5102
Mailing address
PO BOX 27434, TULSA, OK 74149-0434
(918) 587-5100
(918) 587-5102
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3291
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100092790C
—
OK
Enumeration date
08/15/2005
Last updated
07/31/2012
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