Individual
KRISTEN THOMSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2640 W BASELINE RD, STE 111, PHOENIX, AZ 85041-6492
(480) 677-8282
(480) 677-8283
Mailing address
4600 S MILL AVE, STE 280, TEMPE, AZ 85282-6850
(480) 305-2888
(480) 305-2889
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
47902
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32356600
—
WI
05
—
842737
—
AZ
Enumeration date
07/14/2006
Last updated
02/07/2014
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