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NPI Code Detail

MEDICARE: DR. GREGORY ALAN THOMPSON M.D.

MEDICARE:  DR. GREGORY ALAN THOMPSON  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
1207R00000XInternal Medicine Physician89084CA
2207R00000XInternal Medicine Physician20924TN

General Provider Information

NPI Number : 1407127947
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GREGORY ALAN THOMPSON M.D.
Provider Business Mailing Address
First Line : 13 OAK MEADOW LN
Second Line :
City : CARMEL VALLEY
State : CA
Zip : 93924-9455
Country : US
Telephone Number : 801-718-4181
Fax Number :
Provider Business Practice Location Address
First Line : 13 OAK MEADOW LN
Second Line :
City : CARMEL VALLEY
State : CA
Zip : 93924-9455
Country : US
Telephone Number : 801-718-4181
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2012
Last Update Date : 01/13/2012

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Directions to “ DR. GREGORY ALAN THOMPSON M.D.” Practice Location

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