Individual
MR. JESSE DAVID THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 MERCY WAY, JOPLIN, MO 64804-4524
(417) 556-2727
Mailing address
100 MERCY WAY, JOPLIN, MO 64804-4524
(417) 556-2727
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2018002811
MO
Other
Enumeration date
02/12/2018
Last updated
03/17/2018
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