Individual
DOUGLAS MICHAEL THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8040 PRINCETON GLENDALE RD, WEST CHESTER, OH 45069-5802
(513) 246-7000
Mailing address
1775 W LEXINGTON, SUITE 100, CINCINNATI, OH 45212-3589
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
34.014544
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2565399
—
OH
Enumeration date
03/24/2017
Last updated
07/14/2021
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