Michael Robert Berg Thayer
NPI #1356889976 in Tacoma, Washington
Provider Information
- NPI Number
- 1356889976
- Entity Type
- Individual
- Name
- Michael Robert Berg Thayer
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Emergency Medical Technician, Intermediate
- Enumeration Date
- Feb 2, 2017
- Last Updated
- Feb 2, 2017
Practice Location
- Address
- MADIGAN ARMY MEDICAL CENTER 9040JACKSON AVE
- Address 2
- ATTN: MCHJ-CLQ-C
- City
- Tacoma
- State
- Washington
- ZIP Code
- 98431-1100
- Phone
- (253) 968-1110
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medical Technician, Intermediate |
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