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Individual

SANDRA A THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
633 N 4TH ST, BOISE, ID 83702-4510
(208) 342-9800
(208) 342-4223
Mailing address
633 N 4TH ST, BOISE, ID 83702-4510
(208) 342-9800
(208) 342-4223

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
M5883
ID
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G156943
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
M5883
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004277900
ID
Enumeration date
06/02/2006
Last updated
08/01/2024
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