Individual
JEFFERY J THATCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
625 W TELEGRAPH ST, WASHINGTON, UT 84780-1541
(435) 986-3770
(435) 986-3772
Mailing address
625 W TELEGRAPH ST, WASHINGTON, UT 84780-1541
(435) 986-3770
(435) 986-3772
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4132139934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101697
IHC
UT
Enumeration date
01/23/2006
Last updated
09/13/2010
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