Individual
CHAD RANDAL THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 PLANTATION RD, BLACKSBURG, VA 24060-3833
(540) 951-0352
(540) 951-7724
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5715
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101-037523
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5623367
—
VA
Enumeration date
11/04/2005
Last updated
08/15/2022
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