Individual
DR. BRADFORD R THOMPSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 RUE DE SANTE, SUITE 2, LA PLACE, LA 70068-5400
(985) 652-7880
(985) 652-7883
Mailing address
501 RUE DE SANTE, SUITE 2, LA PLACE, LA 70068-5400
(985) 652-7880
(985) 652-7883
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
15420R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1197483
—
LA
Enumeration date
05/12/2006
Last updated
07/08/2007
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