Thor William Van Diver, M.D.

NPI #1023061934 in St Petersburg, Florida

Provider Information

NPI Number: 1023061934
Entity Type: Individual
Name: Thor William Van Diver, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Anesthesiology
Credential: M.D.
Enumeration Date: May 19, 2006
Last Updated: Oct 5, 2010

Practice Location

Address: 701 6TH ST S
City: St Petersburg
State: Florida
ZIP Code: 33701-4814
Phone: (727) 823-2188

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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