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Individual

GEORGE NIRVANO THOMPSON SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
5757 WEST THUNDERBIRD ROAD, SUITE W203, GLENDALE, AZ 85306-4649
(602) 664-2333
(602) 896-2987
Mailing address
5757 WEST THUNDERBIRD ROAD, SUITE W203, GLENDALE, AZ 85306-4649
(602) 664-2333
(602) 896-2987

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0403
AZ

Other

Enumeration date
09/22/2006
Last updated
07/08/2007
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