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Individual

MATTHEW THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3402 S 19TH ST, TACOMA, WA 98405-2487
(301) 452-7910
Mailing address
130 WENCKER CIR APT B, BREMERTON, WA 98312-5810
(301) 452-7910

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
60883461
WA

Other

Enumeration date
01/03/2019
Last updated
01/03/2019
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