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Individual

DR. DARYL W. THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2000 S WHEELING AVE, STE 200, TULSA, OK 74104-5649
(918) 748-7854
(918) 748-7883
Mailing address
1515 N HARVARD AVE, STE E, TULSA, OK 74115-4957
(918) 832-6049
(918) 832-6055

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
108947
MO
2084N0400X
Neurology Physician
Primary
27703
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200289870A
OK
05
208004218
MO
Enumeration date
12/16/2005
Last updated
12/21/2010
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