Individual
PHILIP COY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2801 MISSOURI AVE STE 22, LAS CRUCES, NM 88011-5062
(575) 915-1338
Mailing address
3465 MCNUTT RD, SUNLAND PARK, NM 88063-9056
(575) 915-1338
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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