Provider Demographics
NPI:1033793294
Name:HSIEH, JEFFREY SHIAW-GUANG (PA)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:SHIAW-GUANG
Last Name:HSIEH
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:26604 DAUNTLESS RD APT 1
Mailing Address - Street 2:
Mailing Address - City:FORT RILEY
Mailing Address - State:KS
Mailing Address - Zip Code:66442-4840
Mailing Address - Country:US
Mailing Address - Phone:626-289-2289
Mailing Address - Fax:
Practice Address - Street 1:7672 ESTES RD
Practice Address - Street 2:
Practice Address - City:FORT RILEY
Practice Address - State:KS
Practice Address - Zip Code:66442-5778
Practice Address - Country:US
Practice Address - Phone:626-289-2289
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-12
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant