Individual
DR. JEFFERY NOEL THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
626 8TH AVE SE, OLYMPIA, WA 98504-0001
(360) 725-1612
Mailing address
626 8TH AVE SE, OLYMPIA, WA 98504-0001
(360) 725-1612
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00030870
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD00030870
STATE LICENSE
WA
Enumeration date
04/29/2010
Last updated
04/29/2010
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