Individual
MR. CHARLES CONNOR THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
861 6TH AVE. SUITE 860, SAN DIEGO, CA 92101
(619) 940-7577
(619) 923-5299
Mailing address
4680 LASER RD, SHELBY, OH 44875-9318
(419) 566-4009
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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