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Individual

DR. PATRICIA A THISTLETHWAITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD/PHD

Contact information

Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(619) 543-7777
(619) 543-2652
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
G84093
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G84093
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G840930
CA
Enumeration date
07/07/2006
Last updated
01/11/2019
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