Individual
ALEXANDER MARTIN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
655 N ALVERNON WAY STE 204, TUCSON, AZ 85711-1825
(520) 626-0044
Mailing address
1733 CENTERVILLE RD, ROCKFORD, IL 61102-2422
(815) 985-0909
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
R80262
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
01
—
R80262
ARIZONA PHYSICIAN IN TRAINING PERMIT
AZ
Enumeration date
02/22/2023
Last updated
08/02/2023
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