Individual
KENT W. THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 340-3911
(760) 773-1574
Mailing address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 340-3911
(760) 773-1574
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G51606
CA
2085R0204X
Vascular & Interventional Radiology Physician
G51606
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G516060
—
CA
Enumeration date
05/16/2006
Last updated
10/13/2021
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