Individual
DR. KEITH S THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4800 W 25TH ST, GREELEY, CO 80634-3734
(970) 330-6400
(706) 270-0487
Mailing address
PO BOX 2153 DEPT 40339, BIRMINGHAM, AL 35287-9387
(706) 271-0100
(706) 270-0487
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32596
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01325968
—
CO
01
—
P00944807
MEDICARE RAILROAD CARRIER PTAN
CO
Enumeration date
01/04/2006
Last updated
06/18/2020
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