Individual
RENEE E THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4201 MARLA DR NE, ALBUQUERQUE, NM 87109-1937
(505) 401-2945
Mailing address
4201 MARLA DR NE, ALBUQUERQUE, NM 87109
(505) 401-2945
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
812005
MA
208600000X
Surgery Physician
Primary
MD2006-0100
NM
Other
Enumeration date
07/21/2006
Last updated
12/10/2008
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