Individual
JOHN AVERY THOMPSON
Active
Individual
JOHN AVERY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD192172
OR
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
MD192172
OR
Other
Enumeration date
03/27/2016
Last updated
08/10/2021
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