Individual
DR. BRIAN EMIL THATCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1205 HEALTH CENTER PKWY STE 100, YUKON, OK 73099
(405) 717-5400
(405) 717-5467
Mailing address
5300 N INDEPENDENCE AVE STE 280, OKLAHOMA CITY, OK 73112-5555
(405) 717-5400
(405) 717-5467
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33232
OK
207Q00000X
Family Medicine Physician
R-10303
IA
Other
Enumeration date
06/08/2015
Last updated
06/18/2018
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