Individual
ADRIAN THOMPSON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23206 GAY STREET, EUCLID, OH 44123
(216) 347-2883
(216) 731-0927
Mailing address
23206 GAY STREET, EUCLID, OH 44123
(216) 347-2883
(216) 731-0927
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
80-0579796
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3120732
—
OH
Enumeration date
10/02/2014
Last updated
10/02/2014
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