Individual
PATRICK THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1303 N MAIN ST, CEDAR CITY, UT 84721-9746
(435) 868-5000
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10210150-1206
UT
363AS0400X
Surgical Physician Assistant
4395
AZ
390200000X
Student in an Organized Health Care Education/Training Program
T686
AZ
Other
Enumeration date
01/16/2008
Last updated
04/25/2017
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