Individual
DR. BLAKE R THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9040 FRIARS RD, SUITE 400, SAN DIEGO, CA 92108-5680
(619) 284-6377
(619) 528-2841
Mailing address
9040 FRIARS RD, SUITE 400, SAN DIEGO, CA 92108-5680
(619) 284-6377
(619) 528-2841
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G60675
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
G60675
CA
Other
Enumeration date
10/11/2006
Last updated
02/01/2017
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