Jay T Thiemann, ST
Jay T Thiemann, ST is a Surgical Technologist in Moscow, Idaho. Licensed in Washington. Registered with an NPI since 2006.
- Licensed in
- WA
- In the registry since
- 2006
Practice location Address checks out
623 S Main St Ste 6Moscow, ID 83843-2983
Phone: (208) 883-2828
Fax: (208) 882-2179
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Technologist (primary) | Taxonomy 246ZS0410X · Licence ST00002460 (WA) |
|---|
Record details
| NPI number | 1730254285 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | ST |
| Sole proprietor | No |
| NPI enumerated | November 21, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 623 S Main St, Suite 6, Moscow, ID 83843-2983 |
Other providers in Moscow
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Michelle Lynn Gorton, CST
2500 W A St Ste 201, Moscow, ID 83843-6000 · (208) 883-2828
-
Michael K Seelye, ST
623 S Main St Ste 6, Moscow, ID 83843-2983 · (208) 883-2828