MR. Austin Dale Tiller, PA-C
NPI #1235774910 in Hamlin, West Virginia
Provider Information
- NPI Number
- 1235774910
- Entity Type
- Individual
- Name
- MR. Austin Dale Tiller, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Nov 17, 2019
- Last Updated
- Aug 27, 2021
Practice Location
- Address
- 7400 LYNN AVE
- City
- Hamlin
- State
- West Virginia
- ZIP Code
- 25523-1138
- Phone
- (304) 824-5806
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Physician Assistant - Medical — Medical |
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