1093713059

Everything you always wanted to know about FELT THOMAS HARLAN THATCHER D.O. but were afraid to ask.

FELT THOMAS HARLAN THATCHER D.O.

You can also download the this 1093713059 data report as csv | excel | json | xml
Provider Last Name Provider Middle Name Provider First Name Provider Credential
FELT THOMAS HARLAN THATCHER D.O.
Gender:
Male
Enumeration date:
2005-07-13
Last update date:
2012-12-20
Current as of:
2007-08-28
Is sole proprietor?:
No
Is organization subpart?:
Not Answered
In PECOS?:
No
Search for THATCHER, FELT in
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Identifiers

identifier description issuer state active
8437725 Other CHPW WA 1
G8864248 Medicare ID-Type Undpecified none none 1
911019392 Other COMMERCIAL none 1
8437725 Medicaid none WA 1
BF9312199 Other DEA REGISTRATION NUMBER WA 1

Taxonomies

Taxonomy State License Number Primary?
208000000X Pediatrics WA OP00002003

Phone Numbers

Type Number
Mailing Address Telephone Number 5098656175
Practice Location Address Telephone Number 5098823444

Addresses

Type Address City State Postal Country
Mailing Address PO BOX 190 TOPPENISH WA 98948 WA
Practice Location Address 1000 WALLACE WAY GRANDVIEW WA 98930 WA

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