Timothy Tyler, PA

NPI #1144315987 in Oak Grove, Louisiana

Provider Information

NPI Number: 1144315987
Entity Type: Individual
Name: Timothy Tyler, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Oct 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 706 ROSS ST
City: Oak Grove
State: Louisiana
ZIP Code: 71263-9798
Phone: (318) 428-3237

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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