Individual
WILLIAM OTTO THOMPSON
Active
Individual
WILLIAM OTTO THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
207208
NY
207X00000X
Orthopaedic Surgery Physician
207208
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
207208
NY
Other
Enumeration date
10/03/2006
Last updated
01/25/2019
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