Tyler Bradshaw Thompson, IDC is a military health care provider in San Diego, CA. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. Tyler Bradshaw Thompson, IDC NPI is 1083275762. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
34, FARENHOLT AVE
SAN DIEGO, CA
ZIP 92134-001
Phone: (619) 532-7962
The enumeration date for this NPI number is 6/24/2019 and was last updated on 6/24/2019.