Doctor Name: | TERRY L THRASHER |
NPI Number: | 1962492223 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 106165 |
Business Practice Address: | 413 W 2nd St Salisbury, MO - 652811405 |
Business Phone Number: | 6603887084 |
Business Fax Number: | 6603887087 |
Mailing Address: | 413 W 2nd St, SALISBURY |
State: | MO |
Postal Code: | 652811405 |
Phone Number: | 6603887084 |
Fax Number: | 6603887087 |
NPI Enumeration Date: | 10/26/2005 |
NPI Last Update Date: | 12/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 106165 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |