Individual
JASON THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3901 LONE TREE WAY, ANTIOCH, CA 94509-6200
(925) 779-7200
Mailing address
2200 H ST, SACRAMENTO, CA 95816-4024
(920) 904-1069
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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