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Jack Robert Thompson
Emergency Medicine Physician in San Diego, California
NPI 1881181386

Jack Robert Thompson is a Emergency Medicine Physician based in San Diego, CA. Jack Robert Thompson practices in San Diego, CA. The NPI Number for Jack Robert Thompson is 1881181386 and holds a License No. (California).

The current practice location address for Jack Robert Thompson is 4647 Zion Ave, San Diego, CA and can be reached out via phone at 760-323-6830.

Location: 4647 Zion Ave, San Diego, CA, 92120-2507
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881181386
Provider Name
Jack Robert Thompson
Credential
Provider Entity Type
Individual
Gender
Male
Address
4647 Zion Ave, San Diego, CA, 92120-2507
Phone Number
760-323-6830
Fax Number
Provider Enumeration Date
04/19/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4647 Zion Ave
City
San Diego
State
California
Zip
92120-2507
Phone Number
760-323-6830
Fax Number
person
Provider Business Mailing Address Details
Address
4647 Zion Ave
City
San Diego
State
California
Zip
92120-2507
Phone Number
760-323-6830
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
20A18136 (California)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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