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Individual

DR. SHANNON L THOMPSON

Active
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Individual

DR. SHANNON L THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2080C0008X
Child Abuse Pediatrics Physician
Primary
01056261
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200383000
IN
Enumeration date
12/05/2005
Last updated
02/07/2026
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