Individual
DR. RYAN BRADLEY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(904) 546-7082
Mailing address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
30192
NE
208D00000X
General Practice Physician
30192
NE
Other
Enumeration date
06/06/2016
Last updated
05/23/2024
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