Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 38480 | CO |
N | 111NI0900X | Internist | 38480 | CO |
N | 207RC0200X | Critical Care Medicine | 38480 | CO |
Y | 207RP1001X | Pulmonary Disease | 38480 | CO |
NPI | 1053414243 |
---|---|
Provider Name | James W Thompson |
First Address | Grand Junction, CO 81501-8121 |
Second Address | Grand Junction, CO 81501-8121 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2006 |
Last Update Date | 06/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
88772373 | (05) | CO |
H100009 | (02) | |
T0241 | (05) | UT |