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Individual
DR. JOHN E THURSTON
Active
Individual
DR. JOHN E THURSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5008190-1205
UT
207Q00000X
Family Medicine Physician
Primary
5442A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0031408
—
MT
01
—
104247300
US DEPARTMENT OF LABOR
—
05
—
109890001
—
WY
05
—
117571800
—
WY
01
—
308202
BLUE CROSS BLUE SHIELD
WY
Enumeration date
02/27/2006
Last updated
09/04/2008
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