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Individual

RICHARD E THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2500 FAIRWAY ST, DICKINSON, ND 58601-2639
(701) 456-4000
Mailing address
2500 FAIRWAY ST, DICKINSON, ND 58601-2639
(701) 456-4000

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
15828
ND
208600000X
Surgery Physician
26241
MS
390200000X
Student in an Organized Health Care Education/Training Program
191490
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1477660
ND
Enumeration date
06/19/2013
Last updated
10/29/2019
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