Individual
CORT DARCY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
921 OAK PARK BLVD STE 202, PISMO BEACH, CA 93449-3400
(805) 473-7818
(805) 473-7820
Mailing address
PO BOX 2553, PASO ROBLES, CA 93447-2553
(805) 674-7411
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA56325
CA
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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