Individual
DR. MARK E THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
515 MAIN ST, OLEAN, NY 14760-1513
(716) 323-6576
Mailing address
1001 MAIN ST # K3502, BUFFALO, NY 14203-1009
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
227415
NY
207LP3000X
Pediatric Anesthesiology Physician
227414
NY
207LP3000X
Pediatric Anesthesiology Physician
48735
CO
390200000X
Student in an Organized Health Care Education/Training Program
48735
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02377466
—
NY
Enumeration date
01/24/2006
Last updated
03/10/2025
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