Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. LARRY E. TIDYMAN, PA-C
ActiveMR. LARRY E. TIDYMAN, PA-C is a Medical Physician Assistant healthcare provider located in BENKELMAN, Nebraska. NPI 1972690345 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · BENKELMAN, NE
Registration Details
- NPI Number
- 1972690345
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 6, 2006 (19.902163818713 yrs)
- Last Updated
- Sep 1, 2010
- License
-
343 (NE)
Practice Information
- Address
-
1313 N CHEYENNE STBENKELMAN, NE, 690213074Browse NE providers · Browse ZIP 69021
- Phone
- 3084232151
- Fax
- 3084232217
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
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.