Individual
JOHN R. THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6565 S YALE AVE, TULSA, OK 74136-8378
(918) 494-9558
(918) 494-9965
Mailing address
6565 S YALE AVE, TULSA, OK 74136-8309
(918) 494-9558
(918) 494-9965
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12752
OK
Other
Enumeration date
06/20/2006
Last updated
07/08/2007
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