MR. Nicholas Tieu, PA-C

NPI #1295206134 in Lewiston, Idaho

Provider Information

NPI Number: 1295206134
Entity Type: Individual
Name: MR. Nicholas Tieu, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 17, 2018
Last Updated: Feb 8, 2019

Practice Location

Address: 415 6TH ST
City: Lewiston
State: Idaho
ZIP Code: 83501-2434
Phone: (208) 743-2511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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