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NPI Code Detail

MEDICARE: DAVID FRANK TARA THOMPSON MD

MEDICARE: DAVID FRANK TARA THOMPSON 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
1207P00000XEmergency Medicine PhysicianA65066CA
2207P00000XEmergency Medicine Physician042-0016416VT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
200A650660OTHERCACA

General Provider Information

NPI Number : 1992789804
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID FRANK TARA THOMPSON MD
Provider Business Mailing Address
First Line : 115 PORTER DR
Second Line :
City : MIDDLEBURY
State : VT
Zip : 05753-8629
Country : US
Telephone Number : 802-388-4736
Fax Number :
Provider Business Practice Location Address
First Line : 115 PORTER DR
Second Line :
City : MIDDLEBURY
State : VT
Zip : 05753-8629
Country : US
Telephone Number : 802-388-4736
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2005
Last Update Date : 10/20/2022

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