Andrea L Thompson PA-C

NPI 1508861865 - Physician Assistant - 363A00000X

NPI Details
NPI 1508861865
Gender Female
Enumeration Date 06/14/2005
Last Updated 08/29/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
1444 E STEARNS ST STE 11
FAYETTEVILLE AR, 72703-6243, US
Phone (479) 718-7546
Fax (479) 966-4979
Business Location
1444 E STEARNS ST STE 11
FAYETTEVILLE AR, 72703-6243, US
Phone (479) 718-7546
Fax (479) 966-4979
Toxanomy
Taxonomy Code 363A00000X
License State Connecticut
License Number 001125
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According to our database, Andrea L Thompson PA-C NPI is 1508861865, taxonomy code is 363A00000X and license number is 001125, license state is located at Connecticut. Andrea L Thompson PA-C physically located at 1444 E Stearns St Ste 11, Fayetteville AR, 72703-6243. NPI Number Andrea L Thompson PA-C has the Individual type.

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1508861865 NPI number is provided on an as is basis without warranty of any kind. 1508861865 is maintained by the National Plan & Provider Enumeration System. The contents of Andrea L Thompson PA-C are for informational purposes only.