Individual
DR. ANSON L THAGGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
13216
MS
2085R0202X
Diagnostic Radiology Physician
Primary
13216
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00203599
—
MS
05
—
179025
—
AL
01
—
P01202306
RAILROAD MEDICARE PTAN
MS
01
—
POO634041
RAILROAD MEDICARE
—
Enumeration date
10/11/2006
Last updated
01/23/2024
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