IndividualActive
Brent Thielges, DPM
NPI 1043507973 · Foot & Ankle Surgery Podiatrist · Pasco, WA
Provider details
- NPI number
- 1043507973
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- PO60436994 (WA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
9613 Sandifur Pkwy Ste B
Pasco, WA 99301-8028
Phone: (509) 591-9454
Fax: (509) 578-1118
Approximate (ZIP-level) locationGet directions
Mailing address
9613 Sandifur Pkwy Ste B
Pasco, WA 99301-8028
Registry dates
- Enumerated
- 2011-06-29
- Last updated
- 2021-10-20
- Certified
- 2021-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.