Individual
COURTNEY ELIZABETH THIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 N KEENE ST STE 305, COLUMBIA, MO 65201-8104
(573) 882-5673
(573) 884-4625
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2024000073
MO
363A00000X
Physician Assistant
—
—
Other
Enumeration date
12/12/2023
Last updated
02/06/2025
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