Individual provider · Type 1 NPI

Matthew Melvin Tiemann, PA-C

Physician Assistant · Provo, UT

NPI number 1578992012 Active

Practice location

395 W Cougar Blvd Ste 803
Provo, UT 84604-3311

Call (801) 235-7246 Map

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X57636701206 (UT)
Physician Assistant Primary 363A00000X57636701206 (UT)

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 1578992012

Matthew Melvin Tiemann, PA-C's National Provider Identifier is 1578992012, issued on Nov 5, 2013. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Provo, UT. The record was last updated on Oct 25, 2024.