Individual
DR. DWAYNE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1221 MERCANTILE LN, LARGO, MD 20774-5374
(301) 386-6000
Mailing address
1221 MERCANTILE LN, LARGO, MD 20774-5374
(301) 386-6000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D0059232
MD
Other
Enumeration date
09/22/2005
Last updated
12/08/2021
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