Organization
NANCY S. THORNER, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY S THORNER M.D. (CEO)
(831) 476-3363
Entity
Organization
Contact information
Practice address
555 SOQUEL AVENUE, SUITE 360, SANTA CRUZ, CA 95062
(831) 476-3363
(831) 476-6837
Mailing address
555 SOQUEL AVENUE, SUITE 360, SANTA CRUZ, CA 95062
(831) 476-3363
(831) 476-6837
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G57135
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G571350
MEDICARE ID
CA
Enumeration date
10/16/2007
Last updated
10/20/2014
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