Individual
DR. DARYL W. THOMPSON
Active
Individual
DR. DARYL W. THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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