Peter Jeffrey Thompson M.D.

NPI 1063521136 - Family Medicine - 207Q00000X

NPI Details
NPI 1063521136
Gender Male
Enumeration Date 08/30/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1995 E 17TH ST
IDAHO FALLS ID, 83404-6493, US
Phone (208) 529-5252
Fax (208) 529-4434
Business Location
1995 E 17TH ST
IDAHO FALLS ID, 83404-6493, US
Phone (208) 529-5252
Fax (208) 529-4434
Toxanomy
Taxonomy Code 207Q00000X
License State Idaho
License Number M4684
Remove 1063521136 NPI Number
 

According to our database, Dr. Peter Jeffrey Thompson M.D. NPI is 1063521136, taxonomy code is 207Q00000X and license number is M4684, license state is located at Idaho. Peter Jeffrey Thompson M.D. physically located at 1995 E 17th St, Idaho Falls ID, 83404-6493. NPI Number Peter Jeffrey Thompson M.D. has the Individual type.

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1063521136 NPI number is provided on an as is basis without warranty of any kind. 1063521136 is maintained by the National Plan & Provider Enumeration System. The contents of Peter Jeffrey Thompson M.D. are for informational purposes only.