Individual
DR. JONATHAN CHARLES THATCHER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17 BELMONT AVE, SUITE 2, BRATTLEBORO, VT 05301-6613
(802) 254-3500
(802) 254-5937
Mailing address
17 BELMONT AVE, SUITE 2, BRATTLEBORO, VT 05301-6613
(802) 254-3500
(802) 254-5937
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OVN0841
—
VT
Enumeration date
04/11/2006
Last updated
07/08/2007
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