Individual
DR. BENJAMIN TODD THATCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1020 S MAIN ST, #300, SALT LAKE CITY, UT 84101-3176
(801) 538-2057
(801) 596-2515
Mailing address
1020 S MAIN ST, #300, SALT LAKE CITY, UT 84101-3176
(801) 538-2057
(801) 596-2515
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
72169651204
UT
Other
Enumeration date
03/30/2007
Last updated
10/07/2012
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