Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 08-1079 | AZ |
NPI | 1154568657 |
---|---|
Provider Name | Dr. Meghna Thacker |
First Address | Scottsdale, AZ 85258-6613 |
Second Address | Scottsdale, AZ 85258-5079 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/01/2009 |
Last Update Date | 13/08/2009 |