Individual
MR. CHARLES EDWARD THOMPSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA
Contact information
Practice address
901 N PORTER AVE, NORMAN, OK 73071-6404
(405) 307-1600
(405) 307-1604
Mailing address
16013 STONEVIEW DR, OKLAHOMA CITY, OK 73170-7652
(214) 693-9869
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
05TX1173
TX
Other
Enumeration date
12/11/2008
Last updated
12/11/2008
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