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NPI Code Detail

MEDICARE: RUTH M THOMPSON DO

MEDICARE: RUTH M THOMPSON DO
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 Physician2557OK

General Provider Information

NPI Number : 1811955453
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUTH M THOMPSON DO
Provider Business Mailing Address
First Line : 3500 SE FRANK PHILLIPS BLVD
Second Line :
City : BARTLESVILLE
State : OK
Zip : 74006-2300
Country : US
Telephone Number : 918-331-1104
Fax Number : 918-331-1446
Provider Business Practice Location Address
First Line : 3500 SE FRANK PHILLIPS BLVD.
Second Line :
City : BARTLESVILLE
State : OK
Zip : 74006-2300
Country : US
Telephone Number : 918-331-1104
Fax Number : 918-331-1446
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2006
Last Update Date : 12/22/2011

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