Individual
BRIAN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
804 COURT ST, JESSUP, PA 18434-1614
(570) 604-6997
Mailing address
804 COURT ST, JESSUP, PA 18434-1614
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
PA
Other
Enumeration date
02/13/2020
Last updated
06/15/2020
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