Willie E. Thigpen MD

NPI 1093863052 - Family Medicine - 207Q00000X

NPI Details
NPI 1093863052
Gender Male
Enumeration Date 01/08/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
4405 VANDEVER AVE
SAN DIEGO CA, 92120-3315, US
Phone (619) 528-5000
Fax
Business Location
393 E WALNUT ST
3RD FLOOR PHR SYSTEMS
PASADENA CA, 91188-0001, US
Phone (626) 405-3640
Fax (626) 405-6768
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number C40766
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According to our database, Willie E. Thigpen MD NPI is 1093863052, taxonomy code is 207Q00000X and license number is C40766, license state is located at California. Willie E. Thigpen MD physically located at 4405 Vandever Ave, San Diego CA, 92120-3315. NPI Number Willie E. Thigpen MD has the Individual type.

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1093863052 NPI number is provided on an as is basis without warranty of any kind. 1093863052 is maintained by the National Plan & Provider Enumeration System. The contents of Willie E. Thigpen MD are for informational purposes only.