Individual
DR. ELIZABETH M. THACKERAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
30 N 1900 E RM 3C444, SALT LAKE CITY, UT 84132-0002
(801) 581-6393
Mailing address
30 N 1900 E RM 3C444, SALT LAKE CITY, UT 84132-0002
(801) 581-6393
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5767766-1205
UT
Other
Enumeration date
04/06/2007
Last updated
12/17/2021
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