Individual
ROBERT JORDAN THOMPSON
Active
Individual
ROBERT JORDAN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35039044
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000117692
BLUE CROSS PROVIDER
OH
05
—
0308223
—
OH
Enumeration date
11/30/2005
Last updated
06/11/2009
Update your record
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