Individual
DR. CHARLES OLIVER THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24630 REDLANDS BLVD, LOMA LINDA, CA 92354-4019
(909) 478-7878
(909) 478-0888
Mailing address
267 CHIPPEWA LANE, BOX 50 331, LAKE ARROWHEAD, CA 92352
(909) 336-6588
(909) 336-1409
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G12782
CA
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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