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Individual

MRS. SUSAN D. THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
617 LIBERTY ST, CLAY CENTER, KS 67432-1564
(785) 632-5184
(785) 632-2031
Mailing address
PO BOX 808, CLAY CENTER, KS 67432-0808
(785) 632-5184
(785) 632-2031

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-21395
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100151820B
KS
Enumeration date
08/09/2005
Last updated
03/20/2017
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