Individual
JOHN STATON THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2211 ARCA DR, ANCHORAGE, AK 99508-3462
(907) 277-6677
Mailing address
1801 DIOMEDE ST, ANCHORAGE, AK 99504-2718
(907) 854-0115
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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