Individual provider · Type 1 NPI

David Thatch, MT

Medical Technologist · Fort Washakie, WY

NPI number 1205235330 Active

Practice location

29 Black Coal Drive
Fort Washakie, WY 82514

Call (307) 332-7300 Map

Fax (307) 332-7514

Mailing address

29 Black Coal Dr
Fort Washakie, WY 82514

Specialties and licenses

TaxonomyCodeLicense
Medical Technologist Primary 246QM0706XNone listed

Medical Technologist: Definition to come...

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About NPI 1205235330

David Thatch, MT's National Provider Identifier is 1205235330, issued on Aug 14, 2014. The primary taxonomy on file is Medical Technologist (246QM0706X), and the practice location is in Fort Washakie, WY. The record was last updated on Aug 14, 2014.