Individual
FREDERICK EUGENE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 WESTWOODS DR, LIBERTY, MO 64068
(816) 781-3371
(816) 781-5167
Mailing address
100 WESTWOODS DR, LIBERTY, MO 64068
(816) 781-3371
(816) 781-5167
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
0429782
KS
208200000X
Plastic Surgery Physician
C5716
AR
208200000X
Plastic Surgery Physician
Primary
R8A10
MO
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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