Provider / Organization | NPI | Date Certified |
---|---|---|
ALEXANDER MARTIN THOMPSON | 1831897404 | 2023-05-06 |
Alexander Martin Thompson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1831897404. Registration indicates Alexander Martin Thompson is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
Entity Type | Individual |
Provider Name | Alexander Martin Thompson MD |
Practice Office Address | 1625 N CAMPBELL AVE TUCSON, AZ US |
Practice Office Telephone | 5206940111 |
Mailing Address | 1733 CENTERVILLE RD ROCKFORD, IL 611022422 US |
Business Telephone | 8159850909 |
Address | City / State | Phone / Fax |
---|---|---|
3188 Bellevue Ave | Cincinnati, OH 452192369 | 5135841000 |
Code | Practice | License No State |
---|---|---|
390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |
R80262 | OTHER | AZ | ARIZONA PHYSICI |
NONE | OTHER | NONE |