Individual
ANDREW THAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1951 BENCH RD, SUITE B, POCATELLO, ID 83201-2073
(208) 238-1000
(208) 238-0009
Mailing address
1951 BENCH RD, SUITE B, POCATELLO, ID 83201-2073
(208) 238-1000
(208) 238-0009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M9047
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806857400
—
ID
01
—
P00108846
RAILROAD MEDICARE PTAN
ID
Enumeration date
07/09/2006
Last updated
09/22/2011
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