Organization
TRI-CITY FOOT & ANKLE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT JAMES THIELGES DPM (OWNER/PROVIDER)
(509) 591-9454
Entity
Organization
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
—
2036331
—
WA
Enumeration date
03/17/2014
Last updated
07/31/2023
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