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1386106144
ELLIOTT REID THOMPSON
SHREVEPORT, LA
NPI
1386106144
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-04-02
Last Update Date
2021-04-05
Business Address
ELLIOTT REID THOMPSON MD
1501 KINGS HIGHWAY INTERNAL MEDICINE
SHREVEPORT, LA 71130
Phone number: 318-626-0434
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Mailing Address
ELLIOTT REID THOMPSON MD
1501 KINGS HWY P.O. BOX 33932
SHREVEPORT, LA 71130-4228
Phone number: 318-675-6040
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