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Individual
DR. WILLIAM CHARLES THORNDYKE
Active
Individual
DR. WILLIAM CHARLES THORNDYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MDCM FRCS
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
29406
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000051680
ANTHEM
KY
05
—
0130260000
—
WV
05
—
0952821
—
OH
01
—
10806562
CAQH
KY
01
—
340014245
RAILROAD MEDICARE
KY
01
—
5188137
AETNA
KY
05
—
64294069
—
KY
Enumeration date
07/06/2005
Last updated
05/31/2011
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