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1194704767
DAVE H. THACKER
HILL AFB, UT
NPI
1194704767
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: UT 340105-1205)
Enumeration Date
2006-01-12
Last Update Date
2007-07-08
Business Address
Dr. DAVE H. THACKER M.D.
7321 11TH ST 75 MDG/SGOPC
HILL AFB, UT 84056-5012
Phone number: 801-777-6804
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Mailing Address
Dr. DAVE H. THACKER M.D.
5144 VILLAGE WOOD CT
WEST VALLEY CITY, UT 84120-4585
Phone number: 801-982-1528
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