Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 14440 | NH |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 14440 | NH |
NPI | 1013980275 |
---|---|
Provider Name | David C Thut |
First Address | Somersworth, NH 03878-6523 |
Second Address | Somersworth, NH 03878-6523 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2006 |
Last Update Date | 08/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3079349 | (05) | NH |