Dr JASON B TILLEY is a male medical professional, specializing in Family Medicine. He graduated in 2011 from Lake Erie College Of Osteopathic Medicine.
SDS EMERGENCY STAFFING LLC
24 NORRIS ST
EUREKA SPRINGS
AR
726323541
Tel: 4792537400
Npi | 1609162205 |
Pac Id | 6002165792 |
Professional Enrollment Id | I20190301000471 |
Last Name | TILLEY |
First Name | JASON |
Middle Name | B |
Suffix | |
Gender | M |
Credential | |
Medical School Name | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE |
Graduation Year | 2011 |
Primary Specialty | FAMILY MEDICINE |
Secondary Specialty 1 | |
Secondary Specialty 2 | |
Secondary Specialty 3 | |
Secondary Specialty 4 | |
All Secondary Specialties | |
Organization Legal Name | SDS EMERGENCY STAFFING LLC |
Group Practice Pac Id | 9830493709 |
Number Of Group Practice Members | 13 |
Line 1 Street Address | 24 NORRIS ST |
Line 2 Street Address | |
Marker Of Address Line 2 Suppression | |
City | EUREKA SPRINGS |
State | AR |
Zip Code | 726323541 |
Phone Number | 4792537400 |
Hospital Affiliation Ccn 1 | 041304 |
Hospital Affiliation Lbn 1 | EUREKA SPRINGS HOSPITAL, LLC |
Hospital Affiliation Ccn 2 | 370002 |
Hospital Affiliation Lbn 2 | ALLIANCEHEALTH WOODWARD |
Hospital Affiliation Ccn 3 | 370113 |
Hospital Affiliation Lbn 3 | INTEGRIS GROVE HOSPITAL |
Hospital Affiliation Ccn 4 | 041302 |
Hospital Affiliation Lbn 4 | RIVER VALLEY MEDICAL CENTER |
Hospital Affiliation Ccn 5 | |
Hospital Affiliation Lbn 5 | |
Professional Accepts Medicare Assignment | Y |
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