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Individual

DR. CARL ALLEN THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1011 14TH AVE NW, ARDMORE, OK 73401-1828
(580) 220-6658
(580) 220-6673
Mailing address
530 N MONTE VISTA ST, SUITE A, ADA, OK 74820-4675
(580) 436-7101
(580) 436-4447

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036.168288
IL
207P00000X
Emergency Medicine Physician
2882-321
WI
207P00000X
Emergency Medicine Physician
326461
NY
207P00000X
Emergency Medicine Physician
4563
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200115280A
OK
Enumeration date
07/10/2007
Last updated
01/22/2024
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