Individual
MACKENZIE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
363 N WEST ST, OLNEY, IL 62450-1160
(618) 392-9400
Mailing address
730 N BOONE ST, OLNEY, IL 62450-2054
(231) 233-4690
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.009328
IL
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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