NPI 1205235330

David Thatch, MT

Practitioner Medical Technologist Fort Washakie, WY

Practice location

Address: 29 Black Coal Drive, Fort Washakie, WY 82514
Phone: (307) 332-7300
Fax: (307) 332-7514
Mailing address: 29 Black Coal Dr, Ft. Washakie, WY 82514

Registered specialties

Medical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246QM0706X

Other Specialist/Technologist, Pathology providers in Wyoming →

Registry record

NPI: 1205235330
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Aug 2014
Record last updated: 14 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.