MARK THIELE, PA-C
Physician Assistant
Active
Individual
NPI: 1992708523
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 4659 (AZ) |
Frequently Asked Questions
NPI 1992708523 is the National Provider Identifier for MARK THIELE, PA-C, a Physician Assistant provider located in Prescott, AZ. This NPI was enumerated on May 27, 2005.
MARK THIELE, PA-C practices at 1223 WILLOW CREEK RD, Prescott, AZ 86301.
Quick Facts
- NPI
- 1992708523
- Type
- Individual
- Enumerated
- May 27, 2005
- Last Updated
- Mar 29, 2017
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