Mark Edmund Thompson in Lake City - Therapeutic Radiology
Mark Edmund Thompson - NPI 1487646030
Mark Edmund Thompson is a Therapeutic Radiology in Lake City, Florida. Mark Edmund Thompson practices all healthcare services and medical treatments related to Therapeutic Radiology. The NPI Number for Mark Edmund Thompson is 1487646030. The last update date is 2023-02-16.
Mark Edmund Thompson's current location address is 4520 W Us Highway 90, Lake City, Florida. You can contact this provider via phone number 3527550601 and fax number 3527550602. The mailing address for Mark Edmund Thompson is 4520 W Us Highway 90, Lake City, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mark Edmund Thompson |
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Address | 4520 W Us Highway 90, Lake City, Florida |
Phone Number | 3527550601 |
Fax Number | 3527550602 |
Sole Proprietor | N |
Credentials | D.O. |
NPI Number Detail
NPI Number | 1487646030 |
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Provider Enumeration Date | 2005-08-19 |
Last Updated Date | 2023-02-16 |
Provider Mailing Address Detail
Address | 4520 W Us Highway 90 |
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City | Lake City |
State | Florida (FL) |
Post Code | 320558341 |
Phone Number | 3527550601 |
Fax Number | 3527550602 |
Provider's Primary Taxonomy Detail
Speciality | Therapeutic Radiology |
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Taxonomy | 2085R0203X |
Licence No | OS10194 |
Definition: A doctor who specializes in using radiation to treat disease. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
310302 | FL | AVMED | |
279300800 | FL | -- | |
825156 | OH | -- | |
PTAN AG644E | FL | LINKED TO GROUP PTAN IE881A EF | |
2484 | FL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Mark Edmund Thompson by the Centers for Medicare & Medicaid Services?
The Mark Edmund Thompson has been assigned the NPI (National Provider Identifier) 1487646030. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mark Edmund Thompson?
The Mark Edmund Thompson is situated at 4520 W Us Highway 90, in the city of Lake City, state of FL, with the zip code 320558341.
What is Mark Edmund Thompson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mark Edmund Thompson is Therapeutic Radiology, and the corresponding taxonomy classification code for this specialized field is 2085R0203X.
When was the Mark Edmund Thompson's 1487646030 issued?
The Mark Edmund Thompson's 1487646030 was issued on 2005-08-19.
As of what date was the information pertaining to Mark Edmund Thompson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mark Edmund Thompson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-02-16.