Individual
ELIZABETH ANNE THEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(412) 600-6900
Mailing address
921 LOGAN RD, TARENTUM, PA 15084-2624
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1236671
PA
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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