DAN F THOR

TAOS, NM
NPI1134186562
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NM  88-PA09)
Enumeration Date2006-04-28
Last Update Date2012-03-14
Business Address
-- DAN F THOR PA
1397 WEIMER RD
TAOS, NM 87571-6253
Phone number: 575-737-3397
Mailing Address
-- DAN F THOR PA
1397 WEIMER RD
TAOS, NM 87571-6253
Phone number: 575-737-3397