Mark A Thiele, PA-C

NPI #1992708523 in Prescott, Arizona

Provider Information

NPI Number: 1992708523
Entity Type: Individual
Name: Mark A Thiele, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 27, 2005
Last Updated: Mar 29, 2017

Practice Location

Address: 1223 WILLOW CREEK RD
City: Prescott
State: Arizona
ZIP Code: 86301-1427
Phone: (928) 777-9950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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