Individual
DR. EMMITT MICHAEL THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13569 PANAMA CITY BEACH PKWY, PANAMA CITY BEACH, FL 32407-2847
(850) 238-8563
Mailing address
822 WEST EARLL DRIVE, PHOENIX, AZ 85013
(602) 524-7684
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
148662
FL
207R00000X
Internal Medicine Physician
Primary
ME148662
FL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
53103
AZ
207RB0002X
Obesity Medicine (Internal Medicine) Physician
148662
FL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
ME148662
FL
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
ME148662
FL
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
ME148662
FL
208D00000X
General Practice Physician
53103
AZ
Other
Enumeration date
07/29/2014
Last updated
10/04/2023
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