Individual
DR. MELISH A THOMPSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7474 E BOULDERS PKWY UNIT 9, SCOTTSDALE, AZ 85266-1247
(414) 628-0490
Mailing address
7474 E BOULDERS PKWY UNIT 9, SCOTTSDALE, AZ 85266-1247
(414) 628-0490
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
23848
AZ
207RC0000X
Cardiovascular Disease Physician
60721228
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30921700
—
WI
Enumeration date
12/04/2006
Last updated
04/07/2022
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