STEPHEN W. THACKER

BREA, CA
NPI1003854274
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  20A5071)
Enumeration Date2006-06-02
Last Update Date2007-07-16
Business Address
Dr. STEPHEN W. THACKER D.O.
340 W CENTRAL AVE STE 110 ATTENTION: MAGGIE NOLES
BREA, CA 92821-3006
Phone number: 714-529-3971
Mailing Address
Dr. STEPHEN W. THACKER D.O.
PO BOX 51238 ATTENTION: MAGGIE NOLES
LOS ANGELES, CA 90051-5538
Phone number: 562-741-4461
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