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NPI Code Detail

MEDICARE: JAMES E THOMPSON JR. M.D.

MEDICARE:   JAMES E THOMPSON JR. M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianR5G97MO
2207Q00000XFamily Medicine PhysicianN6920AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598732315
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES E THOMPSON JR. M.D.
Provider Business Mailing Address
First Line : PO BOX 986
Second Line :
City : WEST PLAINS
State : MO
Zip : 65775-0986
Country : US
Telephone Number : 417-256-3717
Fax Number : 417-256-3738
Provider Business Practice Location Address
First Line : 1402 N KENTUCKY AVE
Second Line :
City : WEST PLAINS
State : MO
Zip : 65775-1822
Country : US
Telephone Number : 417-256-3717
Fax Number : 417-256-3738
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2006
Last Update Date : 07/06/2022

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