Individual provider · Type 1 NPI
Jason Alan Tiede, P.A.
Medical Physician Assistant · Joplin, MO
NPI number
1629084900
Active
Practice location
1800 W 30th St
Joplin, MO 64804-1520
Fax (417) 782-2945
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 117822 (MO) |
Medical Physician Assistant: Definition to come...
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- Caitlin M. Overfelt, LPCProfessional Counselor Joplin, MO NPI 1033623145
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- David M. Wermuth, LMSWClinical Social Worker Joplin, MO NPI 1861000283
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Other medical physician assistant providers in Joplin
About NPI 1629084900
Jason Alan Tiede, P.A.'s National Provider Identifier is 1629084900, issued on Jul 31, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Joplin, MO. The record was last updated on Jul 8, 2007.