Individual
TROY N THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701
(605) 755-8222
(605) 719-4203
Mailing address
PO BOX 912882, DENVER, CO 80291-2882
(866) 765-0909
(855) 856-8520
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0981
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407222367
—
CO
05
—
1407222367
—
ND
05
—
1407222367
—
SD
Enumeration date
08/14/2015
Last updated
01/11/2019
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