Individual
DR. JEFFREY D THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18 MYRTLE ST, SUITE 102, MEDFORD, OR 97504-7471
(541) 779-2918
(541) 779-6149
Mailing address
18 MYRTLE ST, SUITE 102, MEDFORD, OR 97504-7471
(541) 779-2918
(541) 779-6149
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD07147
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203216
—
OR
Enumeration date
12/14/2005
Last updated
08/09/2012
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