Individual
DR. JONATHAN BRADFORD THOENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1225 CAMPBELL WAY STE 101, BREMERTON, WA 98310-3323
(360) 479-4203
(253) 839-1071
Mailing address
1225 CAMPBELL WAY STE 101, BREMERTON, WA 98310-3323
(360) 479-4203
(253) 839-1071
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD60938378
WA
2086S0129X
Vascular Surgery Physician
Primary
MD60938378
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2144900
—
WA
Enumeration date
07/01/2012
Last updated
07/20/2021
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