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NPI Code Detail

MEDICARE: DR. TRACY A THOMPSON MD

MEDICARE: DR. TRACY 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
1207R00000XInternal Medicine PhysicianG52019CA
2208VP0000XPain Medicine PhysicianG52019CA

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 : 1821076258
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TRACY A THOMPSON MD
Provider Business Mailing Address
First Line : 2350 W. EL CAMINO REAL
Second Line : 2ND FLOOR
City : MOUNTAIN VIEW
State : CA
Zip : 94040-6203
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4050 DUBLIN BLVD.
Second Line :
City : DUBLIN
State : CA
Zip : 94568-3112
Country : US
Telephone Number : 925-875-6100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2006
Last Update Date : 02/01/2012

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Directions to “ DR. TRACY A THOMPSON MD” Practice Location

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