Provider Demographics
NPI:1578666848
Name:THORPE, MICHAEL DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:DAVID
Last Name:THORPE
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:6001 TRUXTUN AVENUE BLDG D
Mailing Address - Street 2:SUITE #400
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-0676
Mailing Address - Country:US
Mailing Address - Phone:661-321-0730
Mailing Address - Fax:
Practice Address - Street 1:6001 TRUXTUN AVE BLDG D
Practice Address - Street 2:SUITE #400
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-0679
Practice Address - Country:US
Practice Address - Phone:661-321-0730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG39970207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA48039Medicare UPIN