IndividualActive
Charles Tilley
NPI 1467502286 · Physician Assistant · Le Mars, IA
Provider details
- NPI number
- 1467502286
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 1409 (NE)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
180 10th St Se Ste 201
Le Mars, IA 51031-2557
Phone: (712) 546-4624
Fax: (712) 546-9395
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 70
Le Mars, IA 51031-0070
Registry dates
- Enumerated
- 2007-01-12
- Last updated
- 2022-10-19
- Certified
- 2022-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.