Individual
MR. PHILLIP DON THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1607 SW 15TH ST, OKLAHOMA CITY, OK 73108-6803
(405) 634-0508
(405) 616-5678
Mailing address
1608 NE 9TH ST, OKLAHOMA CITY, OK 73117-2808
(405) 414-7885
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/27/2007
Last updated
09/27/2007
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