Individual
MARK A. THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10701 NALL AVE, SUITE 100, OVERLAND PARK, KS 66211-1244
(913) 338-5585
(913) 338-3228
Mailing address
8551 BLUEJACKET ST, LENEXA, KS 66214-1656
(913) 981-1215
(913) 439-4823
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
04-28226
KS
2085R0001X
Radiation Oncology Physician
113711
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30004526110004
—
KS
Enumeration date
02/01/2006
Last updated
09/27/2023
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