Individual
DR. JESS LEE THOMPSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 CHILDRENS AVE, STE 2E, OKLAHOMA CITY, OK 73104-4637
(405) 271-5789
(405) 271-1643
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(928) 759-5874
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
31236
OK
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
44766
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200528410A
—
OK
Enumeration date
02/03/2006
Last updated
05/29/2020
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