Individual
ERIC M TILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
728 134TH ST SW STE 120, RADIA INC., PS, EVERETT, WA 98204-5322
(425) 640-7671
Mailing address
728 134TH ST SW STE 120, EVERETT, WA 98204-5322
(425) 640-7671
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
10005032
WA
Other
Enumeration date
08/17/2005
Last updated
01/28/2014
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