Individual
BRUCE D THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4510 NW 39TH ST, OKLAHOMA CITY, OK 73122-2503
(405) 495-5841
Mailing address
3555 NW 58TH ST, SUITE 900, OKLAHOMA CITY, OK 73112-4707
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
24945
OK
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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