Individual
J ROBERT THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
622 SOUTHERN CROSS DR, COLORADO SPRINGS, CO 80906-1046
(719) 471-0622
Mailing address
622 SOUTHERN CROSS DR, COLORADO SPRINGS, CO 80906-1046
(719) 471-0622
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
16181
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01161819
—
CO
Enumeration date
08/31/2006
Last updated
07/08/2007
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