Michael D Thibert, PA

NPI #1659301208 in Yreka, California

Provider Information

NPI Number: 1659301208
Entity Type: Individual
Name: Michael D Thibert, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jul 3, 2006
Last Updated: Apr 2, 2013

Practice Location

Address: 475 BRUCE ST
City: Yreka
State: California
ZIP Code: 96097-3474
Phone: (530) 842-1267

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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