Individual
DR. CALLIE MARIE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 N MARIO CAPECCHI DR RM 2S200, SALT LAKE CITY, UT 84112
(801) 581-2121
Mailing address
30 N MARIO CAPECCHI DR RM 2S200, SALT LAKE CITY, UT 84112
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
11702799-1205
UT
208600000X
Surgery Physician
54477
TN
208600000X
Surgery Physician
60020781
WA
Other
Enumeration date
07/19/2008
Last updated
07/01/2025
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