Individual
DR. DAVID M THAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
340 S FILLMORE ST, EDWARDSVILLE, IL 62025-2115
(618) 692-6700
(618) 692-9772
Mailing address
PO BOX 997, EDWARDSVILLE, IL 62025-0997
(618) 692-6700
(618) 692-6711
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038009512
IL
Other
Enumeration date
03/10/2006
Last updated
05/11/2015
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