Individual
MRS. CARLA BRIANNE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14044 W CAMELBACK RD STE 126, LITCHFIELD PARK, AZ 85340-9492
(623) 935-9600
(623) 935-9602
Mailing address
11313 W ALVARADO RD, AVONDALE, AZ 85392-5201
(623) 433-9911
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2882
AZ
Other
Enumeration date
03/28/2006
Last updated
11/07/2011
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