SearchWest Virginia3747P1801X

Blake Thompson

NPI 1649930777 · on the registry since 2021 · sole proprietor

Practice

Address
2611 Furlong Ave
Saint Albans, WV 25177
Phone
(304) 356-1628

Registry record

Primary taxonomy
3747P1801X
3747P1801X
Licence states on file
WV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-12-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia