Individual
TIM THATCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
229 NW 9TH ST STE 107, OKLAHOMA CITY, OK 73102-2619
(405) 595-3226
Mailing address
229 NW 9TH ST STE 107, OKLAHOMA CITY, OK 73102-2619
(405) 595-3226
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
—
—
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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