MR. MATTHEW TIEMANN, PA-C

Physician Assistant

Active Individual
NPI: 1578992012

Practice Address

395 W COUGAR BLVD STE 803
Provo, UT 84604

Phone: (801) 235-7246

Specialties

Specialty Code Primary License
Physician Assistant - Medical 363AM0700X No 57636701206 (UT)
Physician Assistant 363A00000X Yes 57636701206 (UT)

Frequently Asked Questions

NPI 1578992012 is the National Provider Identifier for MR. MATTHEW TIEMANN, PA-C, a Physician Assistant provider located in Provo, UT. This NPI was enumerated on November 5, 2013.
MR. MATTHEW TIEMANN, PA-C practices at 395 W COUGAR BLVD STE 803, Provo, UT 84604.

Quick Facts

NPI
1578992012
Type
Individual
Enumerated
Nov 5, 2013
Last Updated
Oct 25, 2024

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