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NPI Code Detail

MEDICARE: KRISTEN THOMSEN MD

MEDICARE:   KRISTEN  THOMSEN  MD
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 Physician47902AZ

Other Identifiers

General Provider Information

NPI Number : 1841216884
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN THOMSEN MD
Provider Business Mailing Address
First Line : 4600 S MILL AVE
Second Line : STE 280
City : TEMPE
State : AZ
Zip : 85282-6850
Country : US
Telephone Number : 480-305-2888
Fax Number : 480-305-2889
Provider Business Practice Location Address
First Line : 2640 W BASELINE RD
Second Line : STE 111
City : PHOENIX
State : AZ
Zip : 85041-6492
Country : US
Telephone Number : 480-677-8282
Fax Number : 480-677-8283
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 02/07/2014

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Directions to “ KRISTEN THOMSEN MD” Practice Location

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