Provider Demographics
NPI:1356912067
Name:TUEY, CHRIS
Entity type:Individual
Prefix:
First Name:CHRIS
Middle Name:
Last Name:TUEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 N LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:MARCUS
Mailing Address - State:IA
Mailing Address - Zip Code:51035
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:101 N LOCUST ST
Practice Address - Street 2:
Practice Address - City:MARCUS
Practice Address - State:IA
Practice Address - Zip Code:51035
Practice Address - Country:US
Practice Address - Phone:712-344-7186
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-03
Last Update Date:2021-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant