Individual
KEITH THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9985 SIERRA AVE, DEPARTMENT OF CARDIOLOGY, FONTANA, CA 92335-6720
(909) 900-7168
Mailing address
2613 S DOVER PL, ONTARIO, CA 91761-7328
(909) 900-7168
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A110610
CA
Other
Enumeration date
09/23/2008
Last updated
11/23/2021
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