Individual
DR. THOMAS HUNTER THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2508 NW MEDICAL PARK DR, ROSEBURG, OR 97470-5510
(541) 677-1256
(541) 673-1160
Mailing address
2508 NW MEDICAL PARK DR, ROSEBURG, OR 97471-5510
(541) 677-1256
(541) 673-1160
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD13952
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200046321
RAILROAD MEDICARE
OR
05
—
221523
—
OR
01
—
74-3064196
TAX ID
OR
01
—
MD13952
OR STATE MEDICAL LICENSE
OR
Enumeration date
05/08/2006
Last updated
04/30/2009
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