Individual
LARRY THAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
104 WHITE DEER LN, SEQUIM, WA 98382-8610
(509) 200-6281
Mailing address
104 WHITE DEER LN, SEQUIM, WA 98382-8610
(509) 200-6281
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4706
MT
Other
Enumeration date
12/12/2008
Last updated
12/12/2008
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