Individual
DR. BRENT JAMES THIELGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
9613 SANDIFUR PKWY STE B, PASCO, WA 99301-8028
(509) 591-9454
(509) 578-1118
Mailing address
9613 SANDIFUR PKWY STE B, PASCO, WA 99301-8028
(509) 591-9454
(509) 578-1118
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO60436994
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2035708
—
WA
Enumeration date
06/29/2011
Last updated
10/20/2021
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