Individual
ERIK T THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8641 W FRANKLIN RD, BOISE, ID 83709-0632
(208) 378-9225
Mailing address
8641 W FRANKLIN RD, BOISE, ID 83709-0632
(208) 378-9225
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP100234
ID
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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