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Contact Information

SANDRA A THOMPSON, MD
633 N 4TH ST
BOISE, ID83702-4510
 Phone: 208-342-9800
 Fax: 208-342-4223
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for SANDRA A THOMPSON · (Female)

NPI Number 1326085713
Status Active
Credentials MD
Entity Individual
Enumeration date 06/02/2006
Last updated 08/01/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • CA License # G156943
  • ID License # M5883
  • ID Medicaid 004277900
Hospital affiliation(s)
  • ST LUKES REGIONAL MEDICAL CENTER - (Acute Care)
    190 EAST BANNOCK STREET
    BOISE, ID 83712
  • ST LUKES REGIONAL MEDICAL CENTER - (Acute Care)
    190 EAST BANNOCK STREET
    BOISE, ID 83712
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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