Provider Demographics
NPI:1821541723
Name:THOMPSON, JOSEPH C (DO)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:C
Last Name:THOMPSON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2585 E WILCOX DR STE C
Mailing Address - Street 2:
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85635-2822
Mailing Address - Country:US
Mailing Address - Phone:520-459-0000
Mailing Address - Fax:520-459-5141
Practice Address - Street 1:2585 E WILCOX DR
Practice Address - Street 2:
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635-2821
Practice Address - Country:US
Practice Address - Phone:520-459-0000
Practice Address - Fax:520-459-5141
Is Sole Proprietor?:No
Enumeration Date:2016-07-27
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZR2622207Q00000X
AZ007732207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine