person
Mr. Matthew G Thacher SR.
Military Health Care Provider in Seattle, Washington
NPI 1811974686

Matthew G Thacher SR. is a Military Health Care Provider based in Seattle, WA. Matthew G Thacher SR. practices in Seattle, WA. The NPI Number for Matthew G Thacher SR. is 1811974686 and holds a License No. (Washington).

The current practice location address for Matthew G Thacher SR. is 1519 Alaskan Way S, Seattle, WA and can be reached out via phone at 206-217-6439. You can also correspond with Matthew G Thacher SR. through the mailing address at 1519 ALASKAN WAY S, SEATTLE, WA - 98134-1102 (mailing address contact number: 206-217-6439).

Location: 1519 Alaskan Way S, Seattle, WA, 98134-1102
person
Provider Profile Details
NPI Number
1811974686
Provider Name
Matthew G Thacher SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1519 Alaskan Way S, Seattle, WA, 98134-1102
Phone Number
206-217-6439
Fax Number
Provider Enumeration Date
12/22/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1519 Alaskan Way S
City
State
Zip
98134-1102
Phone Number
206-217-6439
Fax Number
person
Provider Business Mailing Address Details
Address
1519 Alaskan Way S
City
State
Zip
98134-1102
Phone Number
206-217-6439
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
(Washington)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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