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1558361378
CRAIG S. THALACKER
MEDFORD, OR
NPI
1558361378
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: OR MD150996)
Enumeration Date
2005-07-22
Last Update Date
2011-01-15
Business Address
-- CRAIG S. THALACKER M.D.
1111 CRATER LAKE AVE
MEDFORD, OR 97504-6241
Phone number: 514-732-6440
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Mailing Address
-- CRAIG S. THALACKER M.D.
1111 CRATER LAKE AVE
MEDFORD, OR 97504-6241
Phone number: 514-732-6440
Copy
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