Individual
GARY R THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2101 TAMIAMI TRL, PORT CHARLOTTE, FL 33948-2186
(941) 766-1882
(941) 766-1256
Mailing address
PO BOX 380878, MURDOCK, FL 33938-0878
(941) 766-1882
(941) 766-1256
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH5664
FL
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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