Individual
MRS. MANDY ELLEN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4507
(303) 602-5012
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4507
(303) 602-5012
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2642
CO
363A00000X
Physician Assistant
5601004416
MI
Other
Enumeration date
06/14/2006
Last updated
03/30/2021
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