Tyler John Longstreet
NPI #1124539044 in Wilkes Barre, Pennsylvania
Provider Information
- NPI Number
- 1124539044
- Entity Type
- Individual
- Name
- Tyler John Longstreet
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Oct 18, 2017
- Last Updated
- May 10, 2022
Practice Location
- Address
- 25 CHURCH ST
- City
- Wilkes Barre
- State
- Pennsylvania
- ZIP Code
- 18702-3507
- Phone
- (570) 808-3100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
| Physician Assistant |
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