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Individual

MARK E THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3100 PLAZA PROPERTIES BLVD, COLUMBUS, OH 43219-1531
(614) 383-6000
(614) 383-6001
Mailing address
3100 PLAZA PROPERTIES BLVD, COLUMBUS, OH 43219-1531
(614) 383-6000
(614) 383-6001

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
35048176
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000118597
ANTHEM BC/BS
OH
05
0526952
OH
01
3000064
UNITED HEALTHCARE
OH
Enumeration date
05/04/2006
Last updated
09/12/2011
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