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Jordan Thiele

NPI 1972010692 · on the registry since 2018

Practice

Address
1503 K St
Anchorage, AK 99501
Phone
(907) 717-5565

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
AK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-01-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska