Individual
QUINTON LEE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2040 N SHADELAND AVE STE 220, INDIANAPOLIS, IN 46219-1711
(317) 355-1435
Mailing address
2040 N SHADELAND AVE STE 220, INDIANAPOLIS, IN 46219-1711
(317) 355-1435
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
01096131A
IN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300062758
—
IN
Enumeration date
04/05/2022
Last updated
02/27/2026
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