Individual
ADAM THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2207 OSBORNE DR W, SUITE 100, HASTINGS, NE 68901-9112
(402) 462-2139
Mailing address
19421 V ST, OMAHA, NE 68135-4250
(402) 305-4864
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1807
NE
Other
Enumeration date
03/03/2014
Last updated
03/03/2014
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