Individual
DR. PETER JEFFREY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1995 E 17TH ST, IDAHO FALLS, ID 83404-6493
(208) 529-5252
(208) 529-4434
Mailing address
1995 E 17TH ST, IDAHO FALLS, ID 83404-6493
(208) 529-5252
(208) 529-4434
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M4684
ID
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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