Mr. Larry E. Tidyman, PA-C
Mr. Larry E. Tidyman, PA-C is a Medical Physician Assistant in Benkelman, Nebraska. Licensed in Nebraska. Registered with an NPI since 2006.
- Licensed in
- NE
- In the registry since
- 2006
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
1313 N Cheyenne StBenkelman, NE 69021-3074
Phone: (308) 423-2151
Fax: (308) 423-2217
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 343 (NE) |
|---|
Record details
| NPI number | 1972690345 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | October 6, 2006 |
| Last updated in NPPES | September 1, 2010 |