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Individual

DAVID FRANK TARA THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
115 PORTER DR, MIDDLEBURY, VT 05753-8629
(802) 388-4736
Mailing address
115 PORTER DR, MIDDLEBURY, VT 05753-8629
(802) 388-4736

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
042-0016416
VT
207P00000X
Emergency Medicine Physician
A65066
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A650660
CA
CA
05
00A650660
CA
Enumeration date
12/05/2005
Last updated
10/20/2022
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