SearchArizona376K00000X

Tyce Thompson

NPI 1841349990 · on the registry since 2007 · sole proprietor

Practice

Address
203 Fort Huachuca Ln
Bisbee, AZ 85603
Phone
(520) 249-6925

Registry record

Primary taxonomy
376K00000X
376K00000X
Also registered as
376K00000X
Licence states on file
FL, AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-09

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 Arizona