CHARIS THATCHER

PUEBLO, CO
NPI1265699789
Former NameCHARIS VAN DUSEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MN  104589)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: CO  51347)
Enumeration Date2008-05-21
Last Update Date2012-07-26
Business Address
-- CHARIS THATCHER MD
400 W 16TH ST
PUEBLO, CO 81003-2745
Phone number: 719-584-4306
Mailing Address
-- CHARIS THATCHER MD
400 W 16TH ST
PUEBLO, CO 81003-2745
Phone number: 719-584-4306