Individual
SARA LEANNE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4200 E 9TH AVE, B215, DENVER, CO 80262-0001
(303) 372-8643
(303) 372-8522
Mailing address
2500 WALNUT ST, #101, DENVER, CO 80205-2292
(785) 787-9438
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
15-00913
KS
363A00000X
Physician Assistant
Primary
PA2248
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042039
BLUE CROSS BLUE SHIELD
KS
Enumeration date
09/08/2005
Last updated
07/08/2007
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