Tilley, Mark Alan

Tilley, Mark Alan is an individual health care provider with primary practice located at 2081 Bronze Star Dr , Woodland CA 95776-5423. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Tilley, Mark Alan can be contacted via phone (530) 668-2600.

Contact Information

Primary practice address
2081 Bronze Star Dr Woodland CA 95776-5423
Phone: (530) 668-2600
Fax: (530) 661-1081
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA22733 California
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA22733 California

Profile Details

NPI number 1720177884
LBN Legal business name Tilley, Mark Alan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Nov 28th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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