Individual
DARREN R THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9818 CAMINO DEL CORONADO, MORENO VALLEY, CA 92557-3549
(435) 760-1529
Mailing address
9818 CAMINO DEL CORONADO, MORENO VALLEY, CA 92557-3549
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
20A13605
CA
208D00000X
General Practice Physician
5101018790
MI
Other
Enumeration date
07/21/2010
Last updated
11/15/2019
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