Individual
DR. LEIF THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1408 19TH AVE, FAIRBANKS, AK 99701-5903
(907) 451-6682
(907) 459-3811
Mailing address
1717 W COWLES ST, FAIRBANKS, AK 99701-5926
(907) 451-6682
(907) 459-3811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4935
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014545
—
AK
Enumeration date
11/21/2005
Last updated
12/30/2014
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