SearchUtahPhysician Assistant

Matthew Tiemann, PA-C

NPI 1578992012 · on the registry since 2013

Practice

Address
395 W Cougar Blvd Ste 803
Provo, UT 84604
Phone
(801) 235-7246
Organisation at this address
Ihc Health Services Inc
Ihc Health Services Inc
Ihc Health Services Inc
Ihc Health Services Inc
Ihc Health Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
130

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Also registered as
Medical Physician Assistant
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-10-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah