Individual
CRAIG JAMES THATCHER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
930 16TH AVE, MOLINE, IL 61265
(309) 797-1720
(309) 797-1720
Mailing address
930 16TH AVE, MOLINE, IL 61265
(309) 797-1770
(309) 797-1791
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
19024622
IL
Other
Enumeration date
03/03/2006
Last updated
09/24/2020
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