Individual
JOHN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
58462 JASMINE RD, MONTROSE, CO 81401-8974
(970) 249-2360
Mailing address
58462 JASMINE RD, MONTROSE, CO 81401-8974
(970) 249-2360
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
NA
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52831230
—
CO
Enumeration date
04/10/2008
Last updated
04/10/2008
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