Individual
MRS. SALLY LYNN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504-0589
(928) 729-8000
Mailing address
P.O. BOX 589, FORT DEFIANCE INDIAN HOSPITAL BOARD, INC., FORT DEFIANCE, AZ 86504-0589
(928) 729-8000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2009-0018
NM
Other
Enumeration date
11/12/2009
Last updated
11/30/2016
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