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Individual

CRAIG S THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1040 DELAWARE AVENUE, MARION, OH 43301-1814
(740) 383-7831
(740) 375-8137
Mailing address
L-3652, COLUMBUS, OH 43260-0001
(740) 383-7831
(740) 375-8137

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.047688
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000118411
ANTHEM
OH
01
0400770
UHC
05
0492748
OH
01
0639721
PALMETTO MEDICARE
01
110064315
TRAVELERS MEDICARE
01
311098079
TAX ID
01
311098079026
CIGNA
01
353077
SUBMITTER NO
01
634340
AETNA
Enumeration date
05/03/2006
Last updated
10/02/2018
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