Individual
DR. JEREMY MICHAEL THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4921 PARKVIEW PL, DEPT ANESTHESIOLOGY, STE 14C, SAINT LOUIS, MO 63110-1032
(314) 362-8820
(314) 747-2173
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-8820
(314) 747-2173
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
2022013199
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200075476
—
MO
Enumeration date
06/25/2019
Last updated
04/17/2025
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