Individual
DR. SHAUN PATRICK THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
815 FREMONT AVE, FORT MORGAN, CO 80701-3553
(970) 867-8261
(970) 867-1931
Mailing address
PO BOX 2153 DEPT 40339, BIRMINGHAM, AL 35287-9387
(706) 271-0100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36467
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01364678
—
CO
Enumeration date
06/15/2005
Last updated
12/27/2022
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