Individual
CHAD THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3330 NW 56TH ST, SUITE 206, OKLAHOMA CITY, OK 73112-4479
(405) 945-4740
(405) 945-4751
Mailing address
3330 NW 56TH ST, SUITE 206, OKLAHOMA CITY, OK 73112-4479
(405) 945-4740
(405) 945-4751
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
24966
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200246380A
—
OK
Enumeration date
06/01/2007
Last updated
06/23/2015
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