Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | G44007 | CA |
N | 207XS0106X | Orthopaedic Hand Surgeon | MD00022595 | WA |
NPI | 1164461539 |
---|---|
Provider Name | Dr. Arthur Thiel |
First Address | Loma Linda, CA 92354-3128 |
Second Address | Loma Linda, CA 92354-3128 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2006 |
Last Update Date | 31/05/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A07420 | (02) | WA |