Individual
DR. EARL VAN HORN THOMPSON IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2123 AUBURN AVE, CINCINNATI, OH 45219-2906
(513) 929-0104
(513) 929-4369
Mailing address
PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5506
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
35.129254
OH
208C00000X
Colon & Rectal Surgery Physician
MD456123
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2010
Last updated
02/26/2018
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