Individual
DR. SHELLEY THIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
259 TERRACINA BLVD, REDLANDS, CA 92373-4847
(909) 328-5400
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD00021929
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018571
—
WA
01
—
96614
L&I
—
Enumeration date
06/04/2006
Last updated
01/13/2026
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