DR. Richard Randall Thacker, D.O.
NPI #1114920261 in Tallahassee, Florida
Provider Information
- NPI Number
- 1114920261
- Entity Type
- Individual
- Name
- DR. Richard Randall Thacker, D.O.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine
- Credential
- D.O.
- Enumeration Date
- May 23, 2005
- Last Updated
- Aug 20, 2016
Practice Location
- Address
- 2770 CAPITAL MEDICAL BLVD
- Address 2
- STE 200
- City
- Tallahassee
- State
- Florida
- ZIP Code
- 32308-8417
- Phone
- (850) 878-8235
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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