Individual
MR. JACOB WILLIAM THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
19820 N 7TH ST, PHOENIX, AZ 85024-1689
(623) 320-0660
Mailing address
19820 N 7TH ST STE 208, PHOENIX, AZ 85024-1694
(623) 320-0660
(623) 320-0670
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
309108
AZ
Other
Enumeration date
07/07/2021
Last updated
07/19/2024
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