Tracy L Thompson, PA-C
NPI #1407616303 in Mount Vernon, Illinois
Provider Information
- NPI Number
- 1407616303
- Entity Type
- Individual
- Name
- Tracy L Thompson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Mar 20, 2024
- Last Updated
- Feb 17, 2025
Practice Location
- Address
- 4230 LINCOLNSHIRE DR STE A
- City
- Mount Vernon
- State
- Illinois
- ZIP Code
- 62864-2189
- Phone
- (618) 315-6466
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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