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Individual

DR. IAN ABBAN THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4411 THE 25 WAY NE STE 325, ALBUQUERQUE, NM 87109-5853
(505) 823-4411
(505) 343-6085
Mailing address
8801 HORIZON BLVD NE STE 360, ALBUQUERQUE, NM 87113-1563
(505) 828-4923
(505) 213-0103

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD2021-0639
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
147790
AZ
05
54721351
NM
Enumeration date
06/13/2013
Last updated
10/22/2024
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