Individual
DR. IAN L THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3217 SQUALICUM PKWY, BELLINGHAM, WA 98225-1935
(360) 715-4144
(360) 715-4120
Mailing address
3217 SQUALICUM PKWY, BELLINGHAM, WA 98225-1935
(360) 715-4144
(360) 715-4120
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
MD00015259
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03767
REGENCE BLUE SHIELD
WA
05
—
8160053
—
WA
01
—
A00291099418298225
TRICARE
WA
01
—
MD1525
ALASKA MEDICAID
WA
Enumeration date
05/24/2005
Last updated
07/08/2007
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