Ian St George Thompson MD

NPI 1184606873 - Family Medicine - 207Q00000X

NPI Details
NPI 1184606873
Gender Male
Enumeration Date 11/17/2005
Last Updated 06/17/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
2222 W IOWA AVE
CHICKASHA OK, 73018-2738, US
Phone (405) 224-8111
Fax (405) 222-9557
Business Location
1370 N INTERSTATE DR
SUITE 154
NORMAN OK, 73072-3376, US
Phone (405) 224-8111
Fax (405) 222-9557
Toxanomy
Taxonomy Code 207Q00000X
License State Oklahoma
License Number 19102
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According to our database, Ian St George Thompson MD NPI is 1184606873, taxonomy code is 207Q00000X and license number is 19102, license state is located at Oklahoma. Ian St George Thompson MD physically located at 2222 W Iowa Ave, Chickasha OK, 73018-2738. NPI Number Ian St George Thompson MD has the Individual type.

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1184606873 NPI number is provided on an as is basis without warranty of any kind. 1184606873 is maintained by the National Plan & Provider Enumeration System. The contents of Ian St George Thompson MD are for informational purposes only.