SearchIdaho103K00000X

Jordan Thiel

NPI 1649094152 · on the registry since 2024

Practice

Address
700 S Woodruff Ave
Idaho Falls, ID 83401
Phone
(888) 392-8642
Clinicians at this address
23

Registry record

Primary taxonomy
103K00000X
103K00000X
Also registered as
106S00000X
Sex
Male
Record last updated
2025-04-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho