Individual
DR. BENJAMIN CAMPBELL THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2204 E MAIN ST, STIGLER, OK 74462-2822
(918) 967-9200
Mailing address
1706 E HOLLYBROOK LN, STIGLER, OK 74462-3617
(918) 967-9927
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2434
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1502434
—
OK
Enumeration date
03/10/2006
Last updated
07/09/2012
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