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Individual

DR. DAVID A THAYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
801 S STEVENS ST, SPOKANE, WA 99204
(509) 363-7788
(509) 363-7064
Mailing address
801 S STEVENS ST, SPOKANE, WA 99204-2654
(509) 363-7788
(509) 363-7064

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD60912239
WA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD60912239
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1871936419
NPI
WA
Enumeration date
04/13/2013
Last updated
07/16/2019
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