Individual
JAMES F. THOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1102 E LOCUST ST, EMMETT, ID 83617-2713
(208) 365-6004
(208) 365-3589
Mailing address
1102 E LOCUST ST, EMMETT, ID 83617-2713
(208) 365-6004
(208) 365-3589
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M4640
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010158836
REGENCE BLUE SHIELD
ID
01
—
40659
BLUE CROSS
ID
Enumeration date
01/28/2006
Last updated
07/08/2007
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