Individual
DR. CHRISTOPHER J THACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
915 HIGHLAND BLVD, BOZEMAN, MT 59715-6902
(208) 631-0219
Mailing address
PO BOX 328, BOZEMAN, MT 59771-0328
(208) 631-0219
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
107069
MN
207L00000X
Anesthesiology Physician
57116
MN
207L00000X
Anesthesiology Physician
Primary
58707
MT
207L00000X
Anesthesiology Physician
MD175480
OR
Other
Enumeration date
04/02/2012
Last updated
07/21/2022
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