Individual
KATHERINE THIERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12215 N 36TH ST, PHOENIX, AZ 85032-7224
(602) 632-3180
Mailing address
12215 N 36TH ST, PHOENIX, AZ 85032-7224
(602) 632-3180
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2351-PA
PR
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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