Individual
DAN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
409 1ST ST, BERNICE, LA 71222-4001
(318) 285-9066
(318) 285-7735
Mailing address
PO BOX 697, BERNICE, LA 71222-0697
(318) 285-9066
(318) 285-7735
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD205762
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0997
—
LA
Enumeration date
05/25/2007
Last updated
10/13/2015
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