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Individual

DANIEL ALEXANDER THORNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2500 RACQUET LN, STE 100, YAKIMA, WA 98902-6114
(509) 249-3900
(509) 573-3324
Mailing address
2500 RACQUET LN, STE 100, YAKIMA, WA 98902-6114
(509) 249-3900
(509) 573-3324

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
OP60268813
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0295491
L&I
WA
05
2017875
WA
Enumeration date
06/30/2008
Last updated
11/13/2012
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