| Doctor Name: | DR. MATTHEW MICHAEL THOMPSON |
| NPI Number: | 1336433507 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 943 |
| Business Practice Address: | 34800 Bob Wilson Drive Naval Medical Ctr San Diego, CA - 921345000 |
| Business Phone Number: | 6195454359 |
| Business Fax Number: | |
| Mailing Address: | 34800 Bob Wilson Drive, Naval Medical Ctr SAN DIEGO |
| State: | CA |
| Postal Code: | 921345000 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 06/06/2011 |
| NPI Last Update Date: | 06/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 943 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |