Individual
JEAN THOMPSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
172 4TH ST SE, HURON, SD 57350-2510
(605) 353-6200
(605) 353-6593
Mailing address
172 4TH ST SE, HURON, SD 57350-2510
(605) 353-6200
(605) 353-6593
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0069
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6820900
—
SD
Enumeration date
11/18/2005
Last updated
07/08/2007
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