Brian Thompson

NPI #1447883897 in Jessup, Pennsylvania

Provider Information

NPI Number: 1447883897
Entity Type: Individual
Name: Brian Thompson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Feb 13, 2020
Last Updated: Jun 15, 2020

Practice Location

Address: 804 COURT ST
City: Jessup
State: Pennsylvania
ZIP Code: 18434-1614
Phone: (570) 604-6997

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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