Individual
DR. PATE D. THOMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
647 CRAGMONT AVE, BERKELEY, CA 94708-1329
(510) 524-0568
(510) 528-1913
Mailing address
647 CRAGMONT AVE, BERKELEY, CA 94708-1329
(510) 524-0568
(510) 528-1913
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G11694
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G00119540
—
CA
Enumeration date
03/23/2007
Last updated
07/08/2007
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