Individual
COLLIN JAMES THATCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 PLEASANT ST, DES MOINES, IA 50309-1406
(515) 241-6212
Mailing address
1020 EDGELAND ST SW, BONDURANT, IA 50035-1130
(515) 890-1350
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD-50625
IA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/29/2020
Last updated
07/24/2023
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