Individual
DAVID THATCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
29 BLACK COAL DRIVE, FORT WASHAKIE, WY 82514
(307) 332-7300
(307) 332-7514
Mailing address
29 BLACK COAL DR, FT. WASHAKIE, WY 82514
(307) 332-7300
(307) 332-7514
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
—
—
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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