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Individual

BRENT R. THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.-C

Contact information

Practice address
9040 REID ST, TACOMA, WA 98431-1100
(253) 968-2252
(253) 968-3278
Mailing address
9040 REID ST, TACOMA, WA 98431-1100
(253) 968-2252
(253) 968-3278

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
01/18/2007
Last updated
07/08/2007
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