Provider Demographics
NPI:1740555341
Name:THOMPSON, FRANKLIN ALBERT II (SFIDC)
Entity type:Individual
Prefix:MR
First Name:FRANKLIN
Middle Name:ALBERT
Last Name:THOMPSON
Suffix:II
Gender:M
Credentials:SFIDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11975 CALLE LIMONERO
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92019-4042
Mailing Address - Country:US
Mailing Address - Phone:858-382-3877
Mailing Address - Fax:
Practice Address - Street 1:BUILDING 62305
Practice Address - Street 2:1ST CEB BATTALION AID STATION
Practice Address - City:CAMP PENDLETON
Practice Address - State:CA
Practice Address - Zip Code:92055
Practice Address - Country:US
Practice Address - Phone:760-725-7285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-14
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman