Individual
BRYN THATCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-3882
Mailing address
1 WYOMING ST., ATTN: PAM SHANK, DAYTON, OH 45409
(937) 208-3882
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.1300114
OH
207Q00000X
Family Medicine Physician
11022510A
IN
207QA0401X
Addiction Medicine (Family Medicine) Physician
57.259516
OH
390200000X
Student in an Organized Health Care Education/Training Program
Primary
57.259516
OH
Other
Enumeration date
10/16/2017
Last updated
07/30/2025
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