ROBERT SLADE THACKER

CALDWELL, ID
NPI1124309224
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  NP-1096A)
Enumeration Date2011-09-01
Last Update Date2022-01-28
Business Address
-- ROBERT SLADE THACKER APRN CFNP
1906 FAIRVIEW AVE STE. 230
CALDWELL, ID 83605-5407
Phone number: 208-459-4667
Mailing Address
-- ROBERT SLADE THACKER APRN CFNP
1906 FAIRVIEW AVE STE. 230
CALDWELL, ID 83605-5407
Phone number: 208-459-4667
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