Jill Thiede, MD, RD

NPI #1265916167 in Camp Pendleton, California

Provider Information

NPI Number: 1265916167
Entity Type: Individual
Name: Jill Thiede, MD, RD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Credential: MD, RD
Enumeration Date: Sep 18, 2018
Last Updated: Sep 5, 2024

Practice Location

Address: H200 MERCY CIRCLE
City: Camp Pendleton
State: California
ZIP Code: 92055
Phone: (682) 885-7960

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered - Nutrition, Pediatric — Nutrition, Pediatric	133VN1004X
Military Health Care Provider	171000000X
General Practice	208D00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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