CURTIS THACKER

PHOENIX, AZ
NPI1649526583
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: AZ  006250)
Additional Taxonomies207R00000X Internal Medicine
(Licence: AZ  R2194)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2012-07-30
Last Update Date2017-07-24
Business Address
-- CURTIS THACKER DO
2601 E ROOSEVELT ST
PHOENIX, AZ 85008-4973
Phone number: 602-344-5011
Mailing Address
-- CURTIS THACKER DO
2601 E ROOSEVELT ST
PHOENIX, AZ 85008-4973
Phone number: 602-344-1218