Individual
DR. JONATHAN STUART THIELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13001 E 17TH PL, AURORA, CO 80045-2570
(303) 724-1000
Mailing address
13001 E 17TH PL, AURORA, CO 80045-2570
(303) 724-1000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
DR.0053263
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2011
Last updated
12/30/2013
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