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Individual

DR. PETER W THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1365 BROADWAY, BANGOR, ME 04401-2401
(207) 942-6226
(207) 992-2756
Mailing address
1365 BROADWAY, BANGOR, ME 04401-2401
(207) 942-6226
(207) 992-2756

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
016287
ME
208VP0014X
Interventional Pain Medicine Physician
Primary
016287
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
432219799
ME
Enumeration date
06/14/2006
Last updated
01/18/2023
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