Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jon-Marc Thibodeau, PA-C

Individual provider Physician Assistant · NPI 1003119744

Mr. Jon-Marc Thibodeau, PA-C is a Physician Assistant in Fort Leonard Wood, Missouri. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4430 Missouri Ave
Fort Leonard Wood, MO 65473-9098
Phone: (573) 596-0035
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1095643

Record details

NPI number1003119744
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 20, 2010
Last updated in NPPESFebruary 16, 2023
Certification dateFebruary 16, 2023

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