Individual
JESSE TYNDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPAS
Contact information
Practice address
2727 W 2ND ST # 340, HASTINGS, NE 68901-4684
(402) 463-1250
Mailing address
2727 W 2ND ST # 340, HASTINGS, NE 68901-4684
(402) 463-1250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1666
NE
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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