Leah Bronson Thaheld, | |
3800 Reservoir Rd Nw, Washington, DC 20007-2113 | |
(202) 444-2000 | |
Not Available |
Full Name | Leah Bronson Thaheld |
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Gender | Female |
Speciality | Anesthesiologist Assistant |
Location | 3800 Reservoir Rd Nw, Washington, District Of Columbia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1144981580 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367H00000X | Anesthesiologist Assistant | AA2000026 (District Of Columbia) | Primary |
Entity Name | Medstar Medical Group Anesthesiology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528578333 PECOS PAC ID: 1052678034 Enrollment ID: O20171129001837 |
Mailing Address | Practice Location Address |
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Leah Bronson Thaheld, 2668 Chipping Point Ct, Reno, NV 89509-7058 Ph: () - | Leah Bronson Thaheld, 3800 Reservoir Rd Nw, Washington, DC 20007-2113 Ph: (202) 444-2000 |
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