DAVE H. THACKER

HILL AFB, UT
NPI1194704767
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: UT  340105-1205)
Enumeration Date2006-01-12
Last Update Date2007-07-08
Business Address
Dr. DAVE H. THACKER M.D.
7321 11TH ST 75 MDG/SGOPC
HILL AFB, UT 84056-5012
Phone number: 801-777-6804
Mailing Address
Dr. DAVE H. THACKER M.D.
5144 VILLAGE WOOD CT
WEST VALLEY CITY, UT 84120-4585
Phone number: 801-982-1528