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NPI Code Detail

MEDICARE: TERRY THRASHER,D.O.

MEDICARE: TERRY THRASHER,D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician106165MO

General Provider Information

NPI Number : 1568403293
Entity Type Code : Organization
Provider Name (Legal Business Name) : TERRY THRASHER,D.O.
Provider Business Mailing Address
First Line : 630 N MORLEY ST
Second Line : SUITE 105-107
City : MOBERLY
State : MO
Zip : 65270-2556
Country : US
Telephone Number : 660-263-5787
Fax Number : 660-263-5860
Provider Business Practice Location Address
First Line : 630 N MORLEY ST
Second Line : SUITE 105-107
City : MOBERLY
State : MO
Zip : 65270-2556
Country : US
Telephone Number : 660-263-5787
Fax Number : 660-263-5860
Authorized Official
Title or Position : OFFICE MANAGER
Name : DR. TERRY HRASHER L. T
Credential : D.O.
Telephone Number : 660-263-5787
Provider Enumeration Date : 06/10/2006
Last Update Date : 08/22/2020

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