Individual
DR. JOHN THATCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 N MEDICAL DR, DEPARTMENT OF PSYCHIATRY, SALT LAKE CITY, UT 84132-0001
(801) 339-2239
Mailing address
1128 E 1700 S, SALT LAKE CITY, UT 84105-3522
(801) 486-6371
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5766636-1205
UT
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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