Individual
DR. JEFFREY S. THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
260 STATION WAY, SUITE D, ARROYO GRANDE, CA 93420-3359
(805) 473-2828
(805) 473-0149
Mailing address
260 STATION WAY, SUITE D, ARROYO GRANDE, CA 93420-3359
(805) 473-2828
(805) 473-0149
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G49798
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G497980
BLUE SHIELD
CA
01
—
G49798
BLUE CROSS
CA
Enumeration date
12/01/2005
Last updated
03/04/2008
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