Individual
DR. CRAIG R THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
180 KENNEDY MEMORIAL DR, SUITE 304, WATERVILLE, ME 04901-4540
(207) 861-7874
(207) 861-4646
Mailing address
222 KENNEDY MEMORIAL DR, WATERVILLE, ME 04901-4526
(207) 861-3000
(207) 861-2385
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
018638
ME
208600000X
Surgery Physician
22520
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1486108
—
LA
Enumeration date
06/16/2005
Last updated
03/03/2016
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