Organization
GAUTHAMA THOMPSON, RIVER VALLEY CHIROPRACTIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAUTHAMA THOMPSON DC (PRESIDENT)
(207) 364-7931
Entity
Organization
Contact information
Practice address
344 HANCOCK ST, SUITE 1, RUMFORD, ME 04276-1937
(207) 364-7931
(207) 364-3644
Mailing address
344 HANCOCK ST, SUITE 1, RUMFORD, ME 04276-1937
(207) 364-7931
(207) 364-3644
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR1066
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024970
ANTHEM BCBS
ME
01
—
1042297
AETNA
ME
05
—
328880099
—
ME
01
—
M23278
CIGNA
ME
Enumeration date
05/15/2007
Last updated
10/09/2008
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