Individual
JARED THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
343 US ROUTE 1, YORK, ME 03909-1636
(207) 351-2600
(207) 351-2601
Mailing address
15 HOSPITAL DR, YORK, ME 03909-1099
(207) 351-2478
(207) 351-2216
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA1824
ME
363AS0400X
Surgical Physician Assistant
Primary
—
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA1824
LICENSE
ME
Enumeration date
06/13/2018
Last updated
06/16/2018
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