Search › Arizona › 363A00000X
Mark Thiele, PA-C
NPI 1992708523 · on the registry since 2005
Practice
- Address
- 1223 Willow Creek Rd
Prescott, AZ 86301 - Phone
- (928) 777-9950
- Fax
- (928) 777-9975
- Organisation at this address
- Granite Orthopaedics Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-03-29
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 Arizona