Mark A Thiele in Prescott - Physician Assistant
Mark A Thiele - NPI 1992708523
Mark A Thiele is a Physician Assistant in Prescott, Arizona. Mark A Thiele practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mark A Thiele is 1992708523. The last update date is 2017-03-29.
Mark A Thiele's current location address is 1223 Willow Creek Rd, Prescott, Arizona. You can contact this provider via phone number 9287779950 and fax number 9287779975. The mailing address for Mark A Thiele is 1223 Willow Creek Rd, Prescott, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark A Thiele |
|---|---|
| Address | 1223 Willow Creek Rd, Prescott, Arizona |
| Phone Number | 9287779950 |
| Fax Number | 9287779975 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1992708523 |
|---|---|
| Provider Enumeration Date | 2005-05-27 |
| Last Updated Date | 2017-03-29 |
Provider Mailing Address Detail
| Address | 1223 Willow Creek Rd |
|---|---|
| City | Prescott |
| State | Arizona (AZ) |
| Post Code | 8630114270 |
| Phone Number | 9287779950 |
| Fax Number | 9287779975 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 4659 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 291957500 | FL | -- | |
| 782816 | AZ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mark A Thiele by the Centers for Medicare & Medicaid Services (CMS)?
The Mark A Thiele has been assigned the NPI (National Provider Identifier) 1992708523. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Mark A Thiele?
The Mark A Thiele is situated at 1223 Willow Creek Rd, in the city of Prescott, state of AZ, with the zip code 8630114270.
What is Mark A Thiele's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark A Thiele's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date was the 1992708523 assigned to Mark A Thiele?
The Mark A Thiele was issued its 1992708523 on 2005-05-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Mark A Thiele most recently updated or revised?
The information pertaining to Mark A Thiele, including its address, specialty, and other relevant details, was last updated or revised on 2017-03-29.
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