MR. Matthew G Thacher SR.

NPI #1811974686 in Seattle, Washington

Provider Information

NPI Number
1811974686
Entity Type
Individual
Name
MR. Matthew G Thacher SR.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Military Health Care Provider
Enumeration Date
Dec 22, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
1519 ALASKAN WAY S
ZIP Code
98134-1102
Phone
(206) 217-6439

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider

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