# DR. THATCHER ROYAL CARDON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1922095504
- **Gender:** Man
- **Credential:** M.D., MBA, CPE

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD00041986 | WA | Yes |
| 207Q00000X | Family Medicine Physician | MD066052L | PA | — |

## Other

- **Enumeration date:** 09/29/2005
- **Last updated:** 06/30/2025