Individual
CLAYTON DEAN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3301 BROADWAY ST, QUINCY, IL 62301-3713
(417) 818-7430
Mailing address
3301 BROADWAY ST, QUINCY, IL 62301-3713
(417) 818-7430
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209025752
IL
Other
Enumeration date
03/07/2022
Last updated
08/19/2022
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