Jacob Dean Thompson D.P.M.

NPI 1619270923 - Podiatrist - 213ES0103X

NPI Details
NPI 1619270923
Gender Male
Enumeration Date 12/08/2010
Last Updated 12/08/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
9040-A FITZSIMMONS DR
TACOMA WA, 98431-1100, US
Phone (253) 968-1577
Fax
Business Location
1437 ROOKLIDGE ST
DUPONT WA, 98327-9745, US
Phone (253) 964-1352
Fax
Toxanomy
Taxonomy Code 213ES0103X
License State Indiana
License Number 41000238A
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According to our database, Dr. Jacob Dean Thompson D.P.M. NPI is 1619270923, taxonomy code is 213ES0103X and license number is 41000238A, license state is located at Indiana. Jacob Dean Thompson D.P.M. physically located at 9040-a Fitzsimmons Dr, Tacoma WA, 98431-1100. NPI Number Jacob Dean Thompson D.P.M. has the Individual type.

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1619270923 NPI number is provided on an as is basis without warranty of any kind. 1619270923 is maintained by the National Plan & Provider Enumeration System. The contents of Jacob Dean Thompson D.P.M. are for informational purposes only.