Individual
DR. THADDENE TRIPLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1659 W 2ND ST, XENIA, OH 45385-4205
(937) 376-5437
(937) 376-8038
Mailing address
1659 W 2ND ST, XENIA, OH 45385-4205
(937) 376-5437
(937) 376-8038
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35066108
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0968172
—
OH
Enumeration date
03/13/2007
Last updated
07/08/2007
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