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MARK THIELE, PA-C
PA-C
Physician Assistant
NPI: 1992708523IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
4659(AZ)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2004
Contact & Hours
- Address
- 1223 WILLOW CREEK RD
PRESCOTT, AZ 86301 - Phone
- (928) 777-9950
Quick Facts
- NPI
- 1992708523
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 22
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