Doctor Name: | DR. JEFFREY D THOMPSON |
NPI Number: | 1659356467 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD07147 |
Business Practice Address: | 18 Myrtle St Suite 102 Medford, OR - 975047471 |
Business Phone Number: | 5417792918 |
Business Fax Number: | 5417796149 |
Mailing Address: | 18 Myrtle St, Suite 102 MEDFORD |
State: | OR |
Postal Code: | 975047471 |
Phone Number: | 5417792918 |
Fax Number: | 5417796149 |
NPI Enumeration Date: | 12/14/2005 |
NPI Last Update Date: | 08/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD07147 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |