Individual
DR. JOHN LORENZO THURSTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
645 E MISSOURI AVE STE 300, PHOENIX, AZ 85012
(602) 262-8900
Mailing address
645 E MISSOURI AVE STE 300, PHOENIX, AZ 85012-1351
(602) 262-8900
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036151782
IL
207L00000X
Anesthesiology Physician
56982
AZ
207L00000X
Anesthesiology Physician
A148344
CA
207L00000X
Anesthesiology Physician
MD-52878
IA
207L00000X
Anesthesiology Physician
Primary
ME0139999
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214881
GROUP PTAN
IL
Enumeration date
06/13/2011
Last updated
08/15/2025
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