Fred Thysell MD

NPI #1255805628 in Yakima, Washington

Provider Information

NPI Number: 1255805628
Entity Type: Organization
Organization Name: Fred Thysell MD
Primary Specialty: Family Medicine
Enumeration Date: Jan 18, 2019
Last Updated: Jan 18, 2019

Practice Location

Address: 2807 W WASHINGTON AVE STE 117
City: Yakima
State: Washington
ZIP Code: 98903-1367
Phone: (509) 469-1903

Authorized Official

Name: FREDERICK JARL THYSELL, MD
Title: OWNER/DOCTOR
Phone: (509) 823-3861

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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