Individual
MICHAEL THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
502 W COURT ST, JASPER, AR 72641
(870) 446-2203
(870) 446-2206
Mailing address
PO BOX 5387, NORMAN, OK 73070-5387
(866) 321-8433
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01883
TX
Other
Enumeration date
05/26/2006
Last updated
01/05/2022
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