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NPI Code Detail

MEDICARE: DR. ROBERT PAUL THIEL M.D.

MEDICARE: DR. ROBERT PAUL THIEL M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician9500249NC

General Provider Information

NPI Number : 1073592135
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT PAUL THIEL M.D.
Provider Business Mailing Address
First Line : 124 GREENGABLE WAY
Second Line :
City : CHESAPEAKE
State : VA
Zip : 23322-4273
Country : US
Telephone Number : 757-410-0446
Fax Number :
Provider Business Practice Location Address
First Line : 200 HOSPITAL DR
Second Line :
City : GALAX
State : VA
Zip : 24333-2227
Country : US
Telephone Number : 276-236-1788
Fax Number : 276-236-1715
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2006
Last Update Date : 01/23/2012

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