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NPI Code Detail

MEDICARE: ALYSSA MARIE THOMPSON

MEDICARE:   ALYSSA MARIE THOMPSON
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1568157527
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA MARIE THOMPSON
Provider Business Mailing Address
First Line : 8932 N NATIONAL SKY PL
Second Line :
City : TUCSON
State : AZ
Zip : 85742-8165
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7165 N PIMA CANYON DR
Second Line :
City : TUCSON
State : AZ
Zip : 85718-1407
Country : US
Telephone Number : 520-694-8888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2023
Last Update Date : 06/16/2024

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Directions to “ ALYSSA MARIE THOMPSON ” Practice Location

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