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Search › Nebraska › Medical Physician Assistant

Larry Tidyman, PA-C

NPI 1972690345 · on the registry since 2006

Practice

Address
1313 N Cheyenne St
Benkelman, NE 69021
Phone
(308) 423-2151
Fax
(308) 423-2217
Organisation at this address
Dundy County Hospital
Dundy County Hospital
Dundy County Hospital
Dundy County Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
Medical Physician Assistant
363AM0700X
Licence states on file
NE
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-09-01

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 Nebraska