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Individual

RICHARD JAMES THOMPSON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3410 FUTURES DR, SOUTH SIOUX CITY, NE 68776-3917
(402) 412-4270
(402) 412-4215
Mailing address
3410 FUTURES DR, SOUTH SIOUX CITY, NE 68776-3917
(402) 412-4270
(402) 412-4215

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
02673
IA
174400000X
Specialist
Primary
1220
NE

Other

Enumeration date
04/05/2006
Last updated
07/08/2007
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