Provider Demographics
NPI:1922056456
Name:TOMPKINS, EMIL GREGORY JR (DC)
Entity Type:Individual
Prefix:DR
First Name:EMIL
Middle Name:GREGORY
Last Name:TOMPKINS
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7620 N HARTMAN LN
Mailing Address - Street 2:STE 124
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85743-8264
Mailing Address - Country:US
Mailing Address - Phone:520-572-2596
Mailing Address - Fax:520-572-6316
Practice Address - Street 1:7620 N HARTMAN LN
Practice Address - Street 2:STE 124-2
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85743-8263
Practice Address - Country:US
Practice Address - Phone:520-572-2596
Practice Address - Fax:520-572-6316
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-05
Last Update Date:2017-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7404111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ108122Medicare ID - Type Unspecified
AZU99151Medicare UPIN