Individual
CHAD CAMPBELL THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 CERRILLOS RD, SANTA FE, NM 87505-3554
(505) 946-9274
Mailing address
1700 CERRILLOS RD, SANTA FE, NM 87505-3554
(505) 946-9274
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
45857
CO
207Q00000X
Family Medicine Physician
Primary
MD071958L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
618366
—
AZ
05
—
79281222
—
CO
05
—
96927861
—
NM
Enumeration date
10/17/2005
Last updated
09/27/2007
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