Individual
DR. RICHARD R THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
510 S 4TH ST, FULTON, NY 13069-2904
(315) 591-9847
(315) 591-9511
Mailing address
510 S 4TH ST, FULTON, NY 13069-2904
(315) 591-9847
(315) 591-9511
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
156597
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
156597
LICENSE
NY
Enumeration date
11/01/2007
Last updated
11/01/2007
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