JARED LUKE THATCHER

SAINT LOUIS, MO
NPI1518193929
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MO  2017000198)
Enumeration Date2009-06-01
Last Update Date2025-04-17
Business Address
Mr. JARED LUKE THATCHER PA
1044 N MASON RD DEPT NEUROLOGICAL SURGERY, STE 110
SAINT LOUIS, MO 63141-6431
Phone number: 314-362-3577
Mailing Address
Mr. JARED LUKE THATCHER PA
PO BOX 7412011
CHICAGO, IL 60674-2011
Phone number: 314-362-3577