Individual
MICHAEL THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
10TH MEDICAL GROUP, 4102 PINION DRIVE, USAF ACADEMY, CO 80840
(719) 333-5157
Mailing address
35 MIKADO DR W, COLORADO SPRINGS, CO 80919-1345
(719) 531-5330
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
759
CO
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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