Individual
STEVEN SAMUEL TILKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA60698171
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245622059
—
WA
01
—
P01724348
RR MEDICARE WVH
WA
Enumeration date
03/03/2015
Last updated
11/18/2016
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