Individual
DR. LEVESTER THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2195 EUCLID AVE STE 6, BRISTOL, VA 24201-3655
(276) 669-5179
(276) 466-8870
Mailing address
PO BOX 729, SALTVILLE, VA 24370-0729
(276) 669-5179
(276) 466-8870
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101035947
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q004502
—
TN
Enumeration date
04/18/2007
Last updated
10/21/2014
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