MR. Tyler Lee Anderson, PA-C
NPI #1083927792 in Clarkston, Washington
Provider Information
- NPI Number
- 1083927792
- Entity Type
- Individual
- Name
- MR. Tyler Lee Anderson, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Jul 22, 2010
- Last Updated
- Jul 22, 2010
Practice Location
- Address
- 1119 HIGHLAND AVE STE 4
- City
- Clarkston
- State
- Washington
- ZIP Code
- 99403-2836
- Phone
- (509) 254-0080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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