Individual
DEBORAH L THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 724-7723
(505) 841-1599
Mailing address
PO BOX 26666, ALBUQUERQUE, NM 87125-6666
(505) 724-7723
(505) 841-1599
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2005-0766
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55722334
—
CO
01
—
841287602079
ROCKY MOUNTAIN HEALTH PLA
CO
01
—
8412876021H
PACIFICARE BANNER
CO
01
—
THT67587
ANTHEM BCBS
CO
Enumeration date
10/19/2005
Last updated
01/11/2016
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