Individual
TIFFANY HILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 PORTER AVE, AURORA, MO 65605-2365
(417) 678-7974
Mailing address
500 PORTER AVE, AURORA, MO 65605-2365
(417) 678-7974
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2014005587
MO
Other
Enumeration date
02/27/2014
Last updated
02/27/2014
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