Individual
ROGER A THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
608 NW 9TH ST, SUITE 5100, OKLAHOMA CITY, OK 73102-1068
(405) 231-3800
(405) 231-3064
Mailing address
PO BOX 248888, OKLAHOMA CITY, OK 73124-8888
(405) 231-3857
(405) 272-7977
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
16919
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100821760B
—
OK
Enumeration date
03/14/2006
Last updated
10/21/2014
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