Individual
DR. PETER THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
712 E BROADWAY ST STE C, DECORAH, IA 52101-1915
(563) 382-4449
Mailing address
409 HALL ST, WEST UNION, IA 52175-1009
(563) 379-4397
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
092955
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
092955
LICENSURE NUMBER
IA
Enumeration date
08/30/2018
Last updated
08/30/2018
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