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Individual

EDWARD GREGORY THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 E JEFFERSON ST, SUITE 300, BOISE, ID 83712-6246
(208) 381-4100
(208) 381-1665
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-4100
(208) 381-1665

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M6839
ID

Other

Enumeration date
05/10/2006
Last updated
08/21/2012
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