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NPI Code Detail

MEDICARE: SANDRA A THOMPSON MD

MEDICARE: SANDRA A 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
1207L00000XAnesthesiology PhysicianM5883ID
2207LP2900XPain Medicine (Anesthesiology) PhysicianM5883ID
3207LP2900XPain Medicine (Anesthesiology) PhysicianG156943CA

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 : 1326085713
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA A THOMPSON MD
Provider Business Mailing Address
First Line : 633 N 4TH ST
Second Line :
City : BOISE
State : ID
Zip : 83702-4510
Country : US
Telephone Number : 208-342-9800
Fax Number : 208-342-4223
Provider Business Practice Location Address
First Line : 633 N 4TH ST
Second Line :
City : BOISE
State : ID
Zip : 83702-4510
Country : US
Telephone Number : 208-342-9800
Fax Number : 208-342-4223
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2006
Last Update Date : 08/01/2024

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Directions to “ SANDRA A THOMPSON MD” Practice Location

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