John R Thompson, MD | |
Corner Of Route N12 And N7, Fort Defiance, AZ 86504 | |
(928) 729-8000 | |
Not Available |
Full Name | John R Thompson |
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Gender | Male |
Speciality | Orthopaedic Surgery |
Location | Corner Of Route N12 And N7, Fort Defiance, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326040577 | NPI | - | NPPES |
3097535 | Medicaid | TN | |
4051961 | Other | TN | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | MD2016-0696 (New Mexico) | Primary |
Entity Name | Dhhs,phs,naihs, Gallup Indian Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840 |
Mailing Address | Practice Location Address |
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John R Thompson, MD Po Box 649, Fort Defiance, AZ 86504-0649 Ph: () - | John R Thompson, MD Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Ph: (928) 729-8000 |
Marshall Lewis Cook, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Brian Bells Carino, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 |