Individual
CLAY THOMAS THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2165 PROMISE RD, RAPID CITY, SD 57701-8981
(605) 718-1095
Mailing address
24025 PINE VALLEY RD, RAPID CITY, SD 57702-7333
(605) 484-6336
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
R042232
SD
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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