Individual
JEREMY R TIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1225 WARM SPRINGS AVE, HUNTINGDON, PA 16652-2350
(814) 643-8367
(814) 643-8369
Mailing address
1225 WARM SPRINGS AVE, HUNTINGDON, PA 16652-2350
(814) 643-8295
(814) 643-7021
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029412830001
—
PA
Enumeration date
06/25/2009
Last updated
10/23/2019
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