Individual
EUGENE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2600 SIXTH STREET SW, OHIO HOSPITAL BASED PHYSICIANS CORP, CANTON, OH 44710
(330) 363-7462
(330) 363-7679
Mailing address
2600 SIXTH STREET SW, OHIO HOSPITAL BASED PHYSICIANS CORP, CANTON, OH 44710
(330) 363-7462
(330) 363-7679
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN192351
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0751280
—
OH
Enumeration date
06/28/2006
Last updated
11/03/2007
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