Individual
EDWARD S THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD CRNA
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 353-8069
(319) 384-7286
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 353-8069
(319) 384-7286
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D100018
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0174573
—
IA
01
—
45156
WELLMARK BCBS
IA
Enumeration date
09/29/2005
Last updated
12/19/2007
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