NPI 1760100085 · live from the CMS NPI Registry
Thatcher Allred, PA
Physician Assistant in Roy, UT. National Provider Identifier 1760100085, active.
NPI record
| NPI | 1760100085 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 3485 W 5200 S, Roy, UT 84067 |
| Practice phone | 801-475-3900 |
| Mailing address | Po Box 5546, Denver, CO 80217 |
| Enumerated | August 22, 2022 |
| Last updated | January 25, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.