THOMAS DALE BRIESKE
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1144948803- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 815 SW BOND ST, BEND, OR, 977023593
- Phone
- (541) 382-4900
Specialties & Taxonomies
Physician Assistant
Primary License: OR #PA218471