Individual
JAMES I THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20A8259
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX82590
—
CA
Enumeration date
04/26/2006
Last updated
06/17/2010
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