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NPI Code Detail

MEDICARE: JOEL DALE THOMPSON MD

MEDICARE: JOEL DALE 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
1207XS0106XOrthopaedic Hand Surgery Physician29611AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1AZ0712980OTHERAZBCBS
272717OTHERAZHEALTH NET
3900895OTHERAZUNITED HEALTH CARE
40958184-001OTHERAZCIGNA
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6100568OTHERAZPACIFICARE

General Provider Information

NPI Number : 1730183799
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOEL DALE THOMPSON MD
Provider Business Mailing Address
First Line : PO BOX 31630
Second Line :
City : TUCSON
State : AZ
Zip : 85751-1630
Country : US
Telephone Number : 520-784-6200
Fax Number : 520-784-6109
Provider Business Practice Location Address
First Line : 5301 E GRANT RD BLDG 1
Second Line :
City : TUCSON
State : AZ
Zip : 85712-2805
Country : US
Telephone Number : 520-784-6200
Fax Number : 520-784-6109
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2005
Last Update Date : 06/15/2021

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Directions to “ JOEL DALE THOMPSON MD” Practice Location

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