Organization
SPRINGFIELD ORTHOPAEDIC AND SPORTS MEDICINE INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IAN M. THOMPSON M.D. (OWNER)
(937) 398-1066
Entity
Organization
Contact information
Practice address
140 W MAIN ST, SUITE 100, SPRINGFIELD, OH 45502-1312
(937) 398-1066
(937) 398-1076
Mailing address
140 W MAIN ST, SUITE 100, SPRINGFIELD, OH 45502-1312
(937) 398-1066
(937) 398-1076
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35-085484
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2587615
—
OH
Enumeration date
07/25/2006
Last updated
12/27/2011
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