Coralee Gene Thompson, MD
Individual provider Active NPI Family Medicine Physician · Oracle, AZ
NPI 1659547636 · NPPES record last updated May 3, 2019
Key facts
- NPI
- 1659547636
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 35742 (AZ)
- Practice address
- 1040 W American Ave
Oracle, AZ 85623-6089 - Phone
- (520) 896-2092
- Fax
- (520) 896-2449
- NPI assigned
- Apr 30, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35742 | AZ | Yes |
Addresses
Primary practice location
1040 W American Ave
Oracle, AZ 85623-6089
Mailing address
PO Box 10097
Casa Grande, AZ 85130-0020
Phone (520) 836-3446
Other providers in Oracle, AZ
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- Sharlene Marie Stager
- Sun Life Family Health Center Inc
- Sun Life Family Health Center, Inc.
- Daniel E Valdez
- William Bunch
All providers in Oracle, AZ · Family Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.