Individual
ANDREW RYAN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ABOC
Contact information
Practice address
4910 DODGE ST STE 107, OMAHA, NE 68132
(402) 686-0908
(402) 596-5322
Mailing address
4910 DODGE ST STE 107, OMAHA, NE 68132
(402) 686-0908
(402) 596-5322
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
160458
NE
Other
Enumeration date
04/24/2009
Last updated
10/31/2019
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