| John R Thompson, MD | |
|
Corner Of Route N12 And N7, Fort Defiance, AZ 86504 | |
| (928) 729-8000 | |
| Not Available |
| Full Name | John R Thompson |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |