Individual provider · Type 1 NPI
Ursula Louise Thatch, MD
Gynecology Physician · Maryville, IL
NPI number
1659423085
Active
Practice location
6810 State Route 162, Ste 100
Maryville, IL 62062-8501
Fax (618) 288-0063
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gynecology Physician Primary | 207VG0400X | 036-085831 (IL) |
| Gynecology Physician | 207VG0400X | 36980 (MO) |
Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
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About NPI 1659423085
Ursula Louise Thatch, MD's National Provider Identifier is 1659423085, issued on Jan 17, 2007. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in Maryville, IL. The record was last updated on Dec 17, 2008.