Individual
MRS. MARY HELEN EGGLESTON THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
700 W IRONWOOD DR STE 175, COEUR D ALENE, ID 83814-4401
(208) 625-6300
(208) 625-6301
Mailing address
700 W IRONWOOD DR STE 175, COEUR D ALENE, ID 83814-4401
(208) 625-6309
(208) 625-6310
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA-564
ID
363AS0400X
Surgical Physician Assistant
Primary
PA-564
ID
Other
Enumeration date
10/23/2006
Last updated
10/15/2025
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