Individual
DR. MATTHEW PIERCE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
03341
KY
207ZP0213X
Pediatric Pathology Physician
03341
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000735448
ANTHEM BC/BS
KY
05
—
201039650A
—
IN
01
—
50036301
PASSPORT
KY
05
—
7100197400
—
KY
Enumeration date
07/18/2007
Last updated
02/22/2021
Update your record
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