Most Relevant Information
Provider Data
| NPI Number: | 1003176108 |
| Provider Name: | JOHN K THOMPSON PA-C, ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/22/2012 |
| Last Updated: | 08/15/2022 |
Provider Practice Location
1906 BELLEVIEW AVE SE
ROANOKE
VA
240141838
Practice Location Phone/Fax
| Phone: | 5409817000 |
| Fax: |
Provider Mailing Location
213 S JEFFERSON ST STE 1006
ROANOKE
VA
240111713
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |