Provider Demographics
NPI:1447392733
Name:THOMPSON, STEPHEN R (CCP)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:R
Last Name:THOMPSON
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Gender:M
Credentials:CCP
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Mailing Address - Street 1:6545 E DORADO BLVD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85715-4705
Mailing Address - Country:US
Mailing Address - Phone:520-247-2234
Mailing Address - Fax:520-207-5813
Practice Address - Street 1:2251 N INDIAN RUINS RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85715-5331
Practice Address - Country:US
Practice Address - Phone:520-885-8800
Practice Address - Fax:520-885-2000
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
AZ829135009172061003246XC2903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XC2903XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularVascular Specialist