DR. Dave H. Thacker, M.D.

NPI #1194704767 in Hill Afb, Utah

Provider Information

NPI Number: 1194704767
Entity Type: Individual
Name: DR. Dave H. Thacker, M.D.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Jan 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 7321 11TH ST
Address 2: 75 MDG/SGOPC
City: Hill Afb
State: Utah
ZIP Code: 84056-5012
Phone: (801) 777-6804

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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