Individual
DONNA T. THACKREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2740 S HIGHWAY 94, SUITE A, SAINT PETERS, MO 63303-5609
(636) 441-5437
(636) 441-4398
Mailing address
2740 S HIGHWAY 94, SUITE A, SAINT PETERS, MO 63303-5609
(636) 441-5437
(636) 441-4398
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
106364
MO
Other
Enumeration date
03/27/2006
Last updated
02/01/2012
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