Micah Thatcher

NPI #1407629876 in Sugar City, Idaho

Provider Information

NPI Number: 1407629876
Entity Type: Individual
Name: Micah Thatcher
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Nov 6, 2023
Last Updated: Nov 6, 2023

Practice Location

Address: 2 N 3000 E
City: Sugar City
State: Idaho
ZIP Code: 83448-1220
Phone: (208) 351-6081

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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