Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK ALAN TILLEY, PA-C
ActiveMARK ALAN TILLEY, PA-C is a Surgical Physician Assistant healthcare provider located in WOODLAND, California. NPI 1720177884 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · WOODLAND, CA
Registration Details
- NPI Number
- 1720177884
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 12, 2006 (19.695901831886 yrs)
- Last Updated
- Nov 28, 2022
- Licenses
-
PA22733 (CA)PA22733 (CA)
Practice Information
- Address
-
2081 BRONZE STAR DRWOODLAND, CA, 957765423Browse CA providers · Browse ZIP 95776
- Phone
- 5306682600
- Fax
- 5306611081
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in WOODLAND, CA
| Name | Credential | NPI |
|---|---|---|
| GERALDINE M DUTRA | P.A. | 1396917043 |
| MICHAEL A TROFIMENKO | P.A.-C | 1164699344 |
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.