NPI | 1326344185 |
---|---|
Other Name | NICK SCOTT THOMPSON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 5628) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: UT 7805801-1206) |
Enumeration Date | 2011-01-26 |
Last Update Date | 2014-09-22 |