JALEN TIEV, PA

Physician Assistant

Active Individual
NPI: 1497485049

Practice Address

412 MEADOW LN
Providence, UT 84332

Phone: (435) 363-6400

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes -

Frequently Asked Questions

NPI 1497485049 is the National Provider Identifier for JALEN TIEV, PA, a Physician Assistant provider located in Providence, UT. This NPI was enumerated on June 15, 2022.
JALEN TIEV, PA practices at 412 MEADOW LN, Providence, UT 84332.

Quick Facts

NPI
1497485049
Type
Individual
Enumerated
Jun 15, 2022
Last Updated
Sep 15, 2022

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