Individual
JOHN W THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2 LIVEWELL DR, THE MEDICAL GROUP DEPT. OF GOODALL HOSPITAL, KENNEBUNK, ME 04043-6762
(207) 985-7174
(207) 985-1304
Mailing address
2 LIVEWELL DR, THE MEDICAL GROUP DEPT. OF GOODALL HOSPITAL, KENNEBUNK, ME 04043-6762
(207) 985-7174
(207) 985-1304
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
1385
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288630099
—
ME
05
—
30224268
—
NH
Enumeration date
12/20/2005
Last updated
12/29/2011
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