Individual
LOYD ELLIOTT THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2007 NORTH COMMERCE SUITE 200 ARDMORE OKLAHOMA, ARDMORE, OK 73401
(580) 223-7576
Mailing address
PO BOX 5519, ARDMORE, OK 73403
(580) 223-7576
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
14946
OK
Other
Enumeration date
09/25/2006
Last updated
12/25/2007
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