Individual
DR. CARSON JOSEPH THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 E MOUNTAIN DR, WILKES BARRE, PA 18711-0027
(570) 808-6026
(570) 271-6578
Mailing address
1000 E MOUNTAIN DR, WILKES BARRE, PA 18711-0027
(570) 808-6026
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
238733-1
NY
207T00000X
Neurological Surgery Physician
Primary
MD019602E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008602180004
—
PA
05
—
02672833
—
NY
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039843
PA MEDICARE GROUP
PA
01
—
P00260894
RR MEDICARE PIN
PA
Enumeration date
02/23/2006
Last updated
01/18/2012
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