Individual provider · Type 1 NPI
Austin Dale Tiller, PA-C
Medical Physician Assistant · Hamlin, WV
NPI number
1235774910
Active
Practice location
7400 Lynn Ave
Hamlin, WV 25523-1138
Fax (304) 824-5804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1235774910
Austin Dale Tiller, PA-C's National Provider Identifier is 1235774910, issued on Nov 17, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hamlin, WV. The record was last updated on Aug 27, 2021.