Individual
DR. GREGORY SCOTT THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
113 STEPHANIE AVE, LAFAYETTE, LA 70503-3149
(337) 234-5662
Mailing address
113 STEPHANIE AVE, LAFAYETTE, LA 70503-3149
(337) 234-5662
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
017774
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04866
BCBS
LA
05
—
1371351
—
LA
Enumeration date
06/12/2006
Last updated
03/05/2010
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