Individual
DR. JONATHON M THORP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
388 YPAO RD, TAMUNING, GU 96913-3701
(671) 646-8881
Mailing address
17131 SE ROYER RD, DAMASCUS, OR 97089-8746
(671) 487-8483
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M-2218
GU
207R00000X
Internal Medicine Physician
M84011
MD
207R00000X
Internal Medicine Physician
MD176634
OR
208M00000X
Hospitalist Physician
M-2218
GU
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/03/2012
Last updated
09/29/2021
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