Individual
THOR AGUSTSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
148 COOLIDGE AVE, MANCHESTER, NH 03102-3493
(603) 883-0005
(603) 883-0007
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
(603) 883-0005
(603) 883-0007
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036.130493
IL
2084P0800X
Psychiatry Physician
Primary
17292
NH
2084P0800X
Psychiatry Physician
Primary
DO2450
ME
2084P0800X
Psychiatry Physician
OS 12078
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2234315
BCBS
IL
Enumeration date
06/18/2008
Last updated
05/07/2026
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