Individual
DR. MATT THIELBAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 584-1309
Mailing address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 584-1309
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
17822
CO
Other
Enumeration date
12/22/2015
Last updated
12/22/2015
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