ERIC M TILLEY P.A. NPI 1710979521

NPI Information

Eric M Tilley, P.A. is a surgical physician assistant in Everett, WA with 20 years of experience. Eric M Tilley, P.A. NPI is 1710979521. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

728 134TH ST SW STE 120
RADIA INC., PS
EVERETT, WA
ZIP 98204-322
Phone: (425) 640-7671

The NPI 1710979521 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/17/2005 and was last updated on 1/28/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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