Individual
WILLIAM N THIBAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1310 W. STEWART DRIVE, SUITE 503, ORANGE, CA 92868-3856
(714) 997-2224
(714) 997-1187
Mailing address
PO BOX 7462, ORANGE, CA 92863-7462
(714) 571-5000
(714) 571-5055
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G19938
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G199380
—
CA
01
—
G19938
LICENSE
CA
Enumeration date
07/10/2006
Last updated
05/06/2015
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