Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON ALAN TIEDE, P.A.
Active Sole ProprietorJASON ALAN TIEDE, P.A. is a Medical Physician Assistant healthcare provider located in JOPLIN, Missouri. NPI 1629084900 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · JOPLIN, MO
Registration Details
- NPI Number
- 1629084900
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 31, 2006 (20.054252047396 yrs)
- Last Updated
- Jul 8, 2007
- License
-
117822 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1800 W 30TH STJOPLIN, MO, 648041520Browse MO providers · Browse ZIP 64804
- Phone
- 4177825000
- Fax
- 4177822945
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in JOPLIN, MO
| Name | Credential | NPI |
|---|---|---|
| MR. ADAM J WHITE | PA | 1972607315 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.