Individual
DIANE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 3RD ST. 20, SEWARD, AK 99664
(907) 224-3490
Mailing address
PO BOX 3492, SEWARD, AK 99664-3492
(907) 224-6488
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
411
AK
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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