Individual provider · Type 1 NPI

Jon-Marc Thibodeau, PA-C

Physician Assistant · Fort Leonard Wood, MO

NPI number 1003119744 Active

Practice location

4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098

Call (573) 596-0035 Map

Mailing address

4430 Missouri Ave # 1267
Fort Leonard Wood, MO 65473-9098

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1095643

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1003119744

Jon-Marc Thibodeau, PA-C's National Provider Identifier is 1003119744, issued on Dec 20, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Leonard Wood, MO. The record was last updated on Feb 16, 2023.