Individual
THATCHER ALLRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3485 W 5200 S, ROY, UT 84067-9438
(801) 475-3900
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/22/2022
Last updated
01/25/2023
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