JAY THIEMANN, ST

ST

NPI: 1730254285Individual

Specialties, Licenses & Credentials

Surgical TechnologistPrimary

Specialist/Technologist, Other — Surgical Technologist

Code: 246ZS0410X

ST00002460(WA)

Contact & Hours

Address: 623 S MAIN ST, SUITE 6
MOSCOW, ID 83843
Phone: (208) 883-2828

Quick Facts

NPI: 1730254285
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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