| Provider / Organization | NPI | Date Certified |
|---|---|---|
| TREVOR THOMAS THISS | 1356039192 | 2023-08-13 |
Trevor Thomas Thiss is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1356039192. Registration indicates Trevor Thomas Thiss is a provider of services with a specialization in Emergency Medicine (Allopathic & Osteopathic Physicians, Emergency Medicine) (All Other Specialties & Provider Types, ) (Emergency Medicine, Allopathic & Osteopathic Physicians)
| Entity Type | Individual |
| Provider Name | Trevor Thomas Thiss DO |
| Practice Office Address | 3950 S COUNTRY CLUB RD STE 200 TUCSON, AZ US |
| Practice Office Telephone | 5206265582 |
| Mailing Address | 3950 S COUNTRY CLUB RD STE 200 TUCSON, AZ 857142227 US |
| Code | Practice | License No State |
|---|---|---|
| 207P00000X PRIMARY | Emergency Medicine Allopathic & Osteopathic Physicians Emergency Medicine All Other Specialties & Provider Types Emergency Medicine Allopathic & Osteopathic Physicians | R4064
AZ |