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Individual

DR. JAMES THAYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5720 W MEMORIAL RD, OKLAHOMA CITY, OK 73142-2010
(405) 470-7100
(405) 470-7111
Mailing address
5720 W MEMORIAL RD, OKLAHOMA CITY, OK 73142-2010
(405) 470-7100
(405) 470-7111

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12235
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100088120A
OK
Enumeration date
03/23/2006
Last updated
10/05/2009
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