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Individual

ELMER NOEL THOMPSON III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
902 SETON DR, CUMBERLAND, MD 21502-1873
(301) 723-4904
Mailing address
PO BOX 1104, CUMBERLAND, MD 21501-1104

Taxonomy

Speciality
Code
Description
License number
State
246Q00000X
Pathology Specialist/Technologist
Primary
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0103158000
WV
Enumeration date
08/31/2006
Last updated
11/13/2007
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